Provider Demographics
NPI:1124136973
Name:DENISKO, NATALIA S (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:S
Last Name:DENISKO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:500 HIOAKS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4061
Mailing Address - Country:US
Mailing Address - Phone:804-560-0490
Mailing Address - Fax:804-560-3424
Practice Address - Street 1:500 HIOAKS RD
Practice Address - Street 2:SUITE B
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4061
Practice Address - Country:US
Practice Address - Phone:804-560-0490
Practice Address - Fax:804-560-3424
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2015-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101235210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH99475Medicare UPIN
VA006200V85 C05985Medicare ID - Type Unspecified