Healthcare Provider Details

I. General information

NPI: 1851144802
Provider Name (Legal Business Name): TATYANA RUDINA OHAYON MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TATYANA RUDINA M.B.B.S

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 11/04/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDREN'S LANE, CHILDREN'S HOSPITAL OF THE KING'S
NORFOLK VA
23507
US

IV. Provider business mailing address

PAUL GRININGER 19
JERUSALEM ISRAEL
9778019
IL

V. Phone/Fax

Practice location:
  • Phone: 757-668-7249
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: