Individual
DR. TINA MARIA MASCARENHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9961
Mailing address
200 BRULE ST, FORT KNOX, KY 40121-6100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
251371-1
NY
Other
Enumeration date
08/04/2009
Last updated
03/01/2025
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