Provider Demographics
NPI:1730282625
Name:BELIKOVA, NATALIA N (MD)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:N
Last Name:BELIKOVA
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 1:70 SANDSPRING RD
Mailing Address - Street 2:
Mailing Address - City:BEAR CREEK TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18702-8414
Mailing Address - Country:US
Mailing Address - Phone:570-472-3075
Mailing Address - Fax:
Practice Address - Street 1:1111 EAST END BOULVARD
Practice Address - Street 2:
Practice Address - City:WILKESBARRE
Practice Address - State:PA
Practice Address - Zip Code:18711
Practice Address - Country:US
Practice Address - Phone:570-824-3521
Practice Address - Fax:570-819-5176
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD429430207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine