Gene S Mirkin
Podiatrist
10901 Connecticut Ave Suite 200
Kensington
, Maryland 20895-1645
Gene S Mirkin
Podiatrist
10901 Connecticut Ave Suite 200
Kensington
, Maryland 20895-1645
(301) 933-7137
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Gene S Mirkin
- 1600 E Gude Dr Suite 200
- Rockville, MD
- Zip : 20850-1341
- Fax : (301) 933-7137
- Phone : (301) 933-7133
Second Address
- Gene S Mirkin
- 10901 Connecticut Ave Suite 200
- Kensington, MD
- Zip : 20895-1645
- Fax : (301) 949-2002
- Phone : (301) 949-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1071 | MD |
| Y | 222Z00000X | Podiatrist | 1071 | MD |
National Provider Identifier
| NPI | 1053381095 |
|---|---|
| Provider Name | Gene S Mirkin |
| First Address | Rockville, MD 20850-1341 |
| Second Address | Kensington, MD 20895-1645 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 28/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 061368100 | (05) | MD |
| 442183301 | (05) | MD |
| U24310 | (02) |
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.