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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1447305107 NPPES
Delaware MEDICAID 1447305107
Delaware MEDICAID 266108000
Delaware Other 144677500
Delaware MEDICAID 102891261 001

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