Tatyana V Bakhtinova in Lake Forest Park - Physician Assistant
Tatyana V Bakhtinova - NPI 1710916846
Tatyana V Bakhtinova is a Physician Assistant in Lake Forest Park, Washington. Tatyana V Bakhtinova practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tatyana V Bakhtinova is 1710916846. The last update date is 2007-11-06.
Tatyana V Bakhtinova's current location address is 17191 Bothell Way Ne, Lake Forest Park, Washington. You can contact this provider via phone number 2063648272. The mailing address for Tatyana V Bakhtinova is 17191 Bothell Way Ne, Lake Forest Park, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tatyana V Bakhtinova |
|---|---|
| Address | 17191 Bothell Way Ne, Lake Forest Park, Washington |
| Phone Number | 2063648272 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1710916846 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 17191 Bothell Way Ne |
|---|---|
| City | Lake Forest Park |
| State | Washington (WA) |
| Post Code | 9815555340 |
| Phone Number | 2063648272 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GAB25977 | WA | MEDICARE GROUP | |
| 8473597 | WA | -- |
Post Comment/ Review Below
Can you provide the Tatyana V Bakhtinova's physical address?
The Tatyana V Bakhtinova is physically located at 17191 Bothell Way Ne, in the city of Lake Forest Park, WA, with the postal code 9815555340.
Could you please provide the complete street address where Tatyana V Bakhtinova is physically located?
The Tatyana V Bakhtinova is physically situated at the following address: 17191 Bothell Way Ne, Lake Forest Park, WA, 9815555340.
What is Tatyana V Bakhtinova's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tatyana V Bakhtinova is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Tatyana V Bakhtinova receive its 1710916846 assignment from the Centers for Medicare & Medicaid Services?
The Tatyana V Bakhtinova was assigned its 1710916846 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date were the Tatyana V Bakhtinova's details last updated?
The information pertaining to the Tatyana V Bakhtinova, including its address, specialty, and other details, was most recently updated on 2007-11-06.