Mirakov, Sergey

Mirakov, Sergey is an individual health care provider with primary practice located at 1400 Blackhorse Hill Road Bldg 39, Roomb06G, Coatesville PA 19320. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Mirakov, Sergey can be contacted via phone (610) 384-7711.

Contact Information

Primary practice address
1400 Blackhorse Hill Road Bldg 39, Roomb06G Coatesville PA 19320
Phone: (610) 384-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD460854 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT204799 Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X ME138827 Florida
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD460854 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 10276247-1205 Utah

Profile Details

NPI number 1629347182
LBN Legal business name Mirakov, Sergey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2011
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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