Tatyana Borodulin in Campbell - Family Medicine

Tatyana Borodulin - NPI 1912940628

Tatyana Borodulin is a Family Medicine in Campbell, California. Tatyana Borodulin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tatyana Borodulin is 1912940628. The last update date is 2007-07-08.

Tatyana Borodulin's current location address is 1600 W Campbell Ave, Campbell, California. You can contact this provider via phone number 4083783300 and fax number 4083786822. The mailing address for Tatyana Borodulin is 1600 W Campbell Ave, Campbell, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tatyana Borodulin
Address 1600 W Campbell Ave, Campbell, California
Phone Number 4083783300
Fax Number 4083786822
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1912940628
Provider Enumeration Date 2006-06-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1600 W Campbell Ave
City Campbell
State California (CA)
Post Code 950081526
Phone Number 4083783300
Fax Number 4083786822

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Tatyana Borodulin

What is the unique identifier code issued to Tatyana Borodulin by the Centers for Medicare & Medicaid Services (CMS)?

The Tatyana Borodulin has been assigned the NPI (National Provider Identifier) 1912940628. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Tatyana Borodulin is located?

The Tatyana Borodulin is situated at the following address: 1600 W Campbell Ave, Campbell, CA, 950081526.

What is the Tatyana Borodulin's area of specialization and corresponding taxonomy classification?

The Tatyana Borodulin's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Tatyana Borodulin receive its 1912940628 assignment from the Centers for Medicare & Medicaid Services?

The Tatyana Borodulin was assigned its 1912940628 by the Centers for Medicare & Medicaid Services on 2006-06-13.

When was the information pertaining to Tatyana Borodulin most recently updated or revised?

The details related to Tatyana Borodulin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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