Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALEKSEY TADEVOSYAN, MD
Active2084A2900X · SCARBOROUGH, ME
Registration Details
- NPI Number
- 1477998789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2013 (12.993920094802 yrs)
- Last Updated
- Jul 29, 2025
- Licenses
-
0101275991 (VA)278828 (MA)MD29479 (ME)278828 (MA)MD29479 (ME)
Practice Information
- Address
-
92 CAMPUS DR STE BSCARBOROUGH, ME, 040747229Browse ME providers · Browse ZIP 04074
- Phone
- 2078831414
- Fax
- 2078831010
- Primary Specialty
-
2084A2900X
2084A2900X
- Additional Specialty
- 2084A2900X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- 2084A2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.