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Dr. Vitaly Nazarov, MD
Internal Medicine Physician in Kingsport, Tennessee
NPI 1760469084

Vitaly Nazarov is a Internal Medicine Physician based in Kingsport, TN. Vitaly Nazarov practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Vitaly Nazarov is 1760469084 and holds a License No. 40147 (Tennessee).

The current practice location address for Vitaly Nazarov is 130 W Ravine Rd, Kingsport, TN and can be reached out via phone at 423-224-3628 and via fax at 423-230-8502.

Location: 130 W Ravine Rd, Kingsport, TN, 37660-3365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760469084
Provider Name
Vitaly Nazarov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
130 W Ravine Rd, Kingsport, TN, 37660-3365
Phone Number
423-224-3628
Fax Number
423-230-8502
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4122077 01 TN BCBST
TN0119 01 TN JOHN DEERE HEATLHCARE
3334533 05 TN
institution
Provider Business Practice Location Address Details
Address
130 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-3628
Fax Number
423-230-8502
person
Provider Business Mailing Address Details
Address
130 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-3628
Fax Number
423-230-8502
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
0101254975 (Virginia)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
208M00000X
License No.
40147 (Tennessee)
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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