Individual provider · Type 1 NPI
Adiya Baratova Tudiyarova
Student in an Organized Health Care Education/Training Program · South Boston, MA
Practice location
25 James O'neil Street
South Boston, MA 02127
Mailing address
1010 Massachusetts Avenue
Boston, MA 02118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1194629949
Adiya Baratova Tudiyarova's National Provider Identifier is 1194629949, issued on Oct 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Boston, MA. The record was last updated on Oct 6, 2026.