Dr TATYANA BORODULIN is a female medical professional, specializing in Family Medicine. She graduated in 1988.
TATYANA V. BORODULIN MD, INC
1600 W CAMPBELL AVE
SUITE 202
CAMPBELL
CA
950081526
Tel: 4083783300
| Npi | 1912940628 |
| Pac Id | 9537252705 |
| Professional Enrollment Id | I20070904000351 |
| Last Name | BORODULIN |
| First Name | TATYANA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TATYANA V. BORODULIN MD, INC |
| Group Practice Pac Id | 6800832759 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 1600 W CAMPBELL AVE |
| Line 2 Street Address | SUITE 202 |
| Marker Of Address Line 2 Suppression | |
| City | CAMPBELL |
| State | CA |
| Zip Code | 950081526 |
| Phone Number | 4083783300 |
| Hospital Affiliation Ccn 1 | 050380 |
| Hospital Affiliation Lbn 1 | GOOD SAMARITAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 050308 |
| Hospital Affiliation Lbn 2 | EL CAMINO HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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