Vitali G Mironov in Salt Lake City - Internal Medicine
Vitali G Mironov - NPI 1881756039
Vitali G Mironov is a Internal Medicine in Salt Lake City, Utah. Vitali G Mironov practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Vitali G Mironov is 1881756039. The last update date is 2023-09-26.
Vitali G Mironov's current location address is Po Box 25608, Salt Lake City, Utah. You can contact this provider via phone number 2063204476 and fax number 2065687043. The mailing address for Vitali G Mironov is Po Box 25608, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vitali G Mironov |
|---|---|
| Address | Po Box 25608, Salt Lake City, Utah |
| Phone Number | 2063204476 |
| Fax Number | 2065687043 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881756039 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2023-09-26 |
Provider Mailing Address Detail
| Address | Po Box 25608 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841250608 |
| Phone Number | 2063204476 |
| Fax Number | 2065687043 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD00040662 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1881756039 | WA | -- | |
| 202972 | WA | LABOR AND INDUSTRIES |
Post Comment/ Review Below
What is the Vitali G Mironov's unique identification number?
The Vitali G Mironov has been assigned the NPI (National Provider Identifier) Number 1881756039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Vitali G Mironov's physical address?
The Vitali G Mironov is physically located at Po Box 25608, in the city of Salt Lake City, UT, with the postal code 841250608.
What is the Vitali G Mironov's area of specialization and corresponding taxonomy classification?
The Vitali G Mironov's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1881756039 to Vitali G Mironov?
The Vitali G Mironov received its 1881756039 assignment from the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date was the information regarding Vitali G Mironov, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Vitali G Mironov, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-26.