Individual
DR. NATALYA PROKHOROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 MAIN ST, SPRINGFIELD, MA 01103-2107
(413) 739-1100
(413) 735-1133
Mailing address
1040 MAIN ST, SPRINGFIELD, MA 01103-2107
(413) 739-1100
(413) 735-1133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
223850
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031647
HEALTHNET
MA
01
—
0036480
NHP
MA
05
—
1310097
—
MA
01
—
2235976
CIGNA
MA
01
—
223850
CONNECTICARE
—
01
—
36842
HNE
MA
01
—
967563
NETWORK HEALTH
MA
01
—
AA36432
HARVARD PILGRIM
MA
01
—
J28812
BC/BS
MA
01
—
MP0591087A
CSR
MA
Enumeration date
04/19/2006
Last updated
03/07/2023
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