Mikityanskaya, Irina

Mikityanskaya, Irina is an individual health care provider with primary practice located at 7601 Osler Dr , Towson MD 21204-7700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Mikityanskaya, Irina can be contacted via phone (410) 427-2574.

Contact Information

Primary practice address
7601 Osler Dr Towson MD 21204-7700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D0063042 Maryland

Profile Details

NPI number 1265578454
LBN Legal business name Mikityanskaya, Irina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jun 10th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265578454 NPPES
Maryland MEDICAID 4081072 00

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