Dr. Tatyana Pankratova
Internist Hematology & Oncology
17 Belmont Ave
Brattleboro
, Vermont 05301-7601
Dr. Tatyana Pankratova
Internist Hematology & Oncology
17 Belmont Ave
Brattleboro
, Vermont 05301-7601
(541) 744-8608
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About
Features
Specialties
- Internist
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Tatyana Pankratova
- 1460 G St
- Springfield, OR
- Zip : 97477-4112
- Fax : (541) 744-8608
- Phone : (541) 744-8613
Second Address
- Dr. Tatyana Pankratova
- 17 Belmont Ave
- Brattleboro, VT
- Zip : 05301-7601
- Phone : (802) 257-0341
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 25253 | WV |
| N | 111NI0900X | Internist | 25253 | WV |
| N | 207R00000X | Internist | 57.017371 | OH |
| N | 111NI0900X | Internist | 57.017371 | OH |
| N | 207R00000X | Internist | MD176264 | OR |
| N | 111NI0900X | Internist | MD176264 | OR |
| Y | 207RH0003X | Hematology & Oncology | MD448702 | PA |
National Provider Identifier
| NPI | 1013216324 |
|---|---|
| Provider Name | Dr. Tatyana Pankratova |
| First Address | Springfield, OR 97477-4112 |
| Second Address | Brattleboro, VT 05301-7601 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2011 |
| Last Update Date | 10/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.