Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatiana Suvorov

Individual provider Medical Physician Assistant · NPI 1346599420

Tatiana Suvorov is a Medical Physician Assistant in Revere, Massachusetts. Works from 2 locations. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2012
Specialties on file
2

Practice location Partly verified

Some contact details are missing from the federal record.

Cha Revere Family Care Center 454 Broadway
Revere, MA 02151
Phone: (781) 485-8222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 East 233rd St, Bronx, NY 10466 — (718) 920-9177

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA6778 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 015788 (NY)

Record details

NPI number1346599420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESJune 13, 2019

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