Mirovski, Maxim V

Mirovski, Maxim V is an individual health care provider with primary practice located at 400 Gresham Dr 907 Medical Tower, Norfolk VA 23507-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mirovski, Maxim V can be contacted via phone (757) 627-7301.

Contact Information

Primary practice address
400 Gresham Dr 907 Medical Tower Norfolk VA 23507-1901
Phone: (757) 627-7301
Fax: (757) 627-6238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101840366 Virginia

Profile Details

NPI number 1689797847
LBN Legal business name Mirovski, Maxim V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Nov 5th, 2007 - about 18 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 1689797847 NPPES
Virginia MEDICAID 1689797847
Virginia Other P00414462

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