Individual
MRS. TATIANA V BENDIOUKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
380 PLAINFIELD ST, SPRINGFIELD, MA 01107-1524
(413) 794-4458
(413) 794-5131
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
234797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310097
—
MA
01
—
1417064635
BC/BS
MA
01
—
1417064635
TUFTS (BAYCARE HEALTH PARTNERS)
—
01
—
234797
CONNECTICARE
CT
01
—
43781
HNE
MA
01
—
954013
NETWORK HEALTH
MA
01
—
AA116484
HARVARD PILGRIM
—
01
—
MB0710550A
CONTROLLED SUBSTANCE REGISTRATION
MA
Enumeration date
08/24/2006
Last updated
03/07/2023
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