Tatyana V. Borodulin MD, Inc
NPI 1629153697ActiveOrganization· Family Medicine· Campbell, CA
Family Medicine in Campbell, California, registered in NPPES in October 2006. The authorized official on file is Tatyana V. Borodulin, M.D., Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629153697 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2006 |
| Last updated in NPPES | Mar 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other family medicine physicians in Campbell
- 1275660516
- 1912940628
- 1881181717
- 1063949428
- 1285624650
- 1710901285
- 1770507618
- 1093608101
- 1750302600
- 1760127690
- 1902820814
- 1871736959