Mindadze, Nikolay
Mindadze, Nikolay is an sole proprietor health care provider with primary practice located at 4735 Ogletown Stanton Road, Suite 3301 Medical Arts Pavillion 2, Newark DE 19713-2067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mindadze, Nikolay can be contacted via phone (302) 623-4370.Contact Information
Primary practice address
4735 Ogletown Stanton Road, Suite 3301 Medical Arts Pavillion 2
Newark DE 19713-2067
Phone: (302) 623-4370
Fax: (302) 623-4375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | C1-0008143 | Delaware |
Profile Details
NPI number | 1447305107 |
---|---|
LBN Legal business name | Mindadze, Nikolay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2007 |
Last updated | Dec 5th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447305107 | NPPES |
Delaware | MEDICAID | 1447305107 | |
Delaware | MEDICAID | 266108000 | |
Delaware | Other | 144677500 | |
Delaware | MEDICAID | 102891261 001 |
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