Tatyana Petrosova in St Peters - Nephrology

Tatyana Petrosova - NPI 1023089562

Tatyana Petrosova is a Nephrology in St Peters, Missouri. Tatyana Petrosova practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Tatyana Petrosova is 1023089562. The last update date is 2017-01-30.

Tatyana Petrosova's current location address is Po Box 368, St Peters, Missouri. You can contact this provider via phone number 6369280078 and fax number 6369280089. The mailing address for Tatyana Petrosova is Po Box 368, St Peters, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tatyana Petrosova
Address Po Box 368, St Peters, Missouri
Phone Number 6369280078
Fax Number 6369280089
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1023089562
Provider Enumeration Date 2006-02-01
Last Updated Date 2017-01-30

Provider Mailing Address Detail

Address Po Box 368
City St Peters
State Missouri (MO)
Post Code 633760007
Phone Number 6369280078
Fax Number 6369280089

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 2002007108
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
207235706 MO --

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FAQs about Tatyana Petrosova

What is the unique 10-digit identification code assigned to Tatyana Petrosova by the Centers for Medicare & Medicaid Services?

The Tatyana Petrosova has been issued the NPI (National Provider Identifier) 1023089562, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tatyana Petrosova's facilities are situated?

The facilities of Tatyana Petrosova are physically located at the following address: Po Box 368, St Peters, MO, 633760007.

What is Tatyana Petrosova's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tatyana Petrosova is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.

On what date did the Tatyana Petrosova receive the assignment of its 1023089562 from the Centers for Medicare & Medicaid Services?

The Tatyana Petrosova was issued its 1023089562 by the Centers for Medicare & Medicaid Services on 2006-02-01.

When was the information related to Tatyana Petrosova most recently updated or refreshed?

The details pertaining to the Tatyana Petrosova, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-30.

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