Shereshevsky, Tatyana
Shereshevsky, Tatyana is an individual health care provider with primary practice located at 2205 W Lincoln Ave , Yakima WA 98902-2437. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Shereshevsky, Tatyana can be contacted via phone (509) 469-6305.Contact Information
Primary practice address
2205 W Lincoln Ave
Yakima WA 98902-2437
Phone: (509) 469-6305
Fax: (509) 575-3395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 51975-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | C136085 | California |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | C136085 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD61116194 | Washington |
Profile Details
| NPI number | 1609043835 |
|---|---|
| LBN Legal business name | Shereshevsky, Tatyana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | Jun 9th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609043835 | NPPES |
| California | MEDICAID | 1609043835 | |
| California | MEDICAID | 058957 |
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