Provider Demographics
NPI:1609061753
Name:ABRIKOSOVA, NATALIA ALEXIS (MD)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:ALEXIS
Last Name:ABRIKOSOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 W FREMONT AVE STE K1
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2332
Mailing Address - Country:US
Mailing Address - Phone:669-721-1315
Mailing Address - Fax:669-900-4480
Practice Address - Street 1:877 W FREMONT AVE STE K1
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2332
Practice Address - Country:US
Practice Address - Phone:669-721-1315
Practice Address - Fax:669-900-4480
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-114467207Q00000X
CAA82312207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine