Provider Demographics
NPI:1487276564
Name:SACHOVSKA, NATALIYA (DO)
Entity type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:SACHOVSKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 SAINT LOUIS ST APT 2
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-3028
Mailing Address - Country:US
Mailing Address - Phone:586-839-9521
Mailing Address - Fax:
Practice Address - Street 1:DETROIT MEDICAL CENTER, 4201 ST. ANTOINE
Practice Address - Street 2:GME OFFICE
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-5146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036164261207P00000X
MI5101027670207P00000X
IN02007108A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine