Provider Demographics
NPI:1063268449
Name:BROOKS, NATALYA (MD/PHD)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:NATALYA
Other - Middle Name:
Other - Last Name:MOTYKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 MANNING DRIVE, ROOM 30319
Mailing Address - Street 2:CAMPUS BOX 7160
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:77 VILCOM CENTER DR STE 300
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1875
Practice Address - Country:US
Practice Address - Phone:984-974-5217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRTL24-0129390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program