Provider Demographics
NPI:1265693980
Name:TETYUK, NATALIA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:TETYUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INPATIENT CARE UNIFIED HOSPITALIST GROUP
Mailing Address - Street 2:3730 TABS DRIVE
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685
Mailing Address - Country:US
Mailing Address - Phone:330-563-0617
Mailing Address - Fax:
Practice Address - Street 1:INPATIENT CARE UNIFIED HOSPITALIST GROUP
Practice Address - Street 2:3730 TABS DRIVE
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685
Practice Address - Country:US
Practice Address - Phone:330-563-0617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092741207Q00000X
OH35.097162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine