Dr. Igor Siniakov
Dermatologist MOHS-Micrographic Surgeon
1210 Brookstone Centre Pkwy
Columbus
, Georgia 31904-9272
Dr. Igor Siniakov
Dermatologist MOHS-Micrographic Surgeon
1210 Brookstone Centre Pkwy
Columbus
, Georgia 31904-9272
(706) 322-1718
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Igor Siniakov
- 1210 Brookstone Centre Pkwy
- Columbus, GA
- Zip : 31904-9272
- Fax : (706) 322-1718
- Phone : (706) 322-1717
Second Address
- Dr. Igor Siniakov
- 1210 Brookstone Centre Pkwy
- Columbus, GA
- Zip : 31904-9272
- Fax : (706) 322-1718
- Phone : (706) 322-1717
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 79701 | GA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 79701 | GA |
National Provider Identifier
| NPI | 1053430272 |
|---|---|
| Provider Name | Dr. Igor Siniakov |
| First Address | Columbus, GA 31904-9272 |
| Second Address | Columbus, GA 31904-9272 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2007 |
| Last Update Date | 29/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07-0220028-2 | BCBS MI (01) | MI |
| P00799113 | RR MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.