Individual
TATIANA MALEEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5875 BREMO RD STE 306, RICHMOND, VA 23226-1934
(804) 281-8303
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101274283
VA
2084N0400X
Neurology Physician
A55740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A557400
—
CA
Enumeration date
06/01/2006
Last updated
03/09/2022
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