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NPI Code Detail

MEDICARE: IRINA CHERNAYA MD

MEDICARE: IRINA CHERNAYA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianMD10884RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129877-7OTHERRIBC/BS
2409735OTHERRIBLUECHIP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124018569
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRINA CHERNAYA MD
Provider Business Mailing Address
First Line : 200 MILL RD STE 180
Second Line :
City : FAIRHAVEN
State : MA
Zip : 02719-5255
Country : US
Telephone Number : 508-973-2000
Fax Number : 508-973-2001
Provider Business Practice Location Address
First Line : 11 FRIENDSHIP ST
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2271
Country : US
Telephone Number : 401-846-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 01/21/2025

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