Individual provider · Type 1 NPI

Asia Tabatadze, MD

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1366339913 Active

Practice location

160 Robbins Street, Chase Outpatient Center
Waterbury, CT 06708

Call (203) 573-7284 Map

Mailing address

64 Robbins Street, Waterbury Hospital
Waterbury, CT 06708

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1366339913

Asia Tabatadze, MD's National Provider Identifier is 1366339913, issued on Jun 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Aug 27, 2025.