Novikov, Mikhail
Novikov, Mikhail is an sole proprietor health care provider with primary practice located at 318 Main St Ste 165 , Northborough MA 01532-3609. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Novikov, Mikhail can be contacted via phone (508) 936-1657.Contact Information
Primary practice address
318 Main St Ste 165
Northborough MA 01532-3609
Phone: (508) 936-1657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 241998 | Massachusetts |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 241998 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 241998 | Massachusetts |
Profile Details
| NPI number | 1629278221 |
|---|---|
| LBN Legal business name | Novikov, Mikhail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2007 |
| Last updated | May 31st, 2019 - about 6 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 | 1629278221 | NPPES |
| Massachusetts | MEDICAID | 110086646A | |
| Massachusetts | Other | P00838801 |
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