Tatyana Petrosova
Nephrologist
3009 N Ballas Rd Ste 142a
Saint Louis
, Missouri 63131-2322
Tatyana Petrosova
Nephrologist
3009 N Ballas Rd Ste 142a
Saint Louis
, Missouri 63131-2322
(636) 928-0089
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Tatyana Petrosova
- Po Box 368
- St Peters, MO
- Zip : 63376-0007
- Fax : (636) 928-0089
- Phone : (636) 928-0078
Second Address
- Tatyana Petrosova
- 3009 N Ballas Rd Ste 142a
- Saint Louis, MO
- Zip : 63131-2322
- Fax : (314) 993-4945
- Phone : (314) 993-4949
Reviews
FAQs
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Is Tatyana Petrosova a sole practitioner?
Is Tatyana Petrosova accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RN0300X | Nephrologist | 036107203 | IL |
| Y | 207RN0300X | Nephrologist | 2002007108 | MO |
National Provider Identifier
| NPI | 1023089562 |
|---|---|
| Provider Name | Tatyana Petrosova |
| First Address | St Peters, MO 63376-0007 |
| Second Address | Saint Louis, MO 63131-2322 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2006 |
| Last Update Date | 30/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 207235706 | (05) | MO |
| H78623 | (02) |
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.