Provider Demographics
NPI:1740278431
Name:VOYCHEHOVSKI, TOMASZ H (MD)
Entity type:Individual
Prefix:
First Name:TOMASZ
Middle Name:H
Last Name:VOYCHEHOVSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6918 SHALLOWFORD RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6784
Mailing Address - Country:US
Mailing Address - Phone:423-855-2552
Mailing Address - Fax:423-855-9041
Practice Address - Street 1:6918 SHALLOWFORD RD
Practice Address - Street 2:SUITE 226
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6784
Practice Address - Country:US
Practice Address - Phone:423-855-0841
Practice Address - Fax:423-894-7726
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN023777208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000512894AMedicaid
TN1511822Medicaid
C76900Medicare UPIN
TN1511822Medicaid