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NPI Code Detail

MEDICARE: NATALIYA BAHATYREVICH

MEDICARE:   NATALIYA  BAHATYREVICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianA164345CA

General Provider Information

NPI Number : 1275039950
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIYA BAHATYREVICH
Provider Business Mailing Address
First Line : 2315 STOCKTON BLVD STE OP512
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-2726
Fax Number : 916-734-5633
Provider Business Practice Location Address
First Line : 2315 STOCKTON BLVD STE OP512
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-2726
Fax Number : 916-734-5633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 05/15/2026

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Directions to “ NATALIYA BAHATYREVICH ” Practice Location

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