Individual
TATYANA BEKETOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 LOCUST ST, PITTSBURGH, PA 15219-5924
(412) 642-5435
(724) 786-7690
Mailing address
1622 LOCUST ST, PITTSBURGH, PA 15219-5924
(281) 782-4107
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD481557
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/13/2019
Last updated
07/10/2023
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