Individual
DR. TATYANA PANKRATOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2128 BLAKESLEE BOULEVARD DR E, LEHIGHTON, PA 18235-9619
(610) 402-5369
Mailing address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 744-8613
(541) 744-8608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25253
WV
207R00000X
Internal Medicine Physician
57.017371
OH
207R00000X
Internal Medicine Physician
MD176264
OR
207R00000X
Internal Medicine Physician
MD448702
PA
207RH0003X
Hematology & Oncology Physician
MD448702
PA
208M00000X
Hospitalist Physician
Primary
ME170809
FL
Other
Enumeration date
03/25/2011
Last updated
10/18/2024
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