NPI 1275948572 · live from the CMS NPI Registry
Tatiana Bakaeva, M.D., Ph.D.
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1275948572, active.
NPI record
| NPI | 1275948572 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1 Hoppin Street, Corowest Suite 202, Providence, RI 02903 |
| Practice phone | 401-444-6551 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | June 25, 2014 |
| Last updated | July 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 272919 (MA) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD16734 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.