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Contact Information

TATIANA V BENDIOUKOVA, MD
380 PLAINFIELD ST
SPRINGFIELD, MA01107-1524
 Phone: 413-794-4458
 Fax: 413-794-5131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TATIANA V BENDIOUKOVA · (Female)

NPI # 1417064635
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 234797
  • MA Medicaid 1310097
  • Other 1417064635 FALLON HEALTH CARE(BAYCARE HEALTH PARTNERS)
  • Other AA116484 HARVARD PILGRIM
  • Other 1417064635 NPI
  • Other 1417064635 TUFTS (BAYCARE HEALTH PARTNERS)
  • Other 1417064635 UNITED HEALTHCARE
  • CT Other 234797 CONNECTICARE
  • MA Other 1417064635 AETNA
  • MA Other 1417064635 BC/BS
  • MA Other 1417064635 BMC HEALTH NET PLAN
  • MA Other MB0710550A CONTROLLED SUBSTANCE REGISTRATION
  • MA Other 43781 HNE
  • MA Other 954013 NETWORK HEALTH
  • MA Other 1417064635 NHP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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