Gennady G Miroshnichenko
Obstetrician & Gynecologist Gynecologic Oncologist
1201 S Main St
Fort Worth
, Texas 76104-4804
Gennady G Miroshnichenko
Obstetrician & Gynecologist Gynecologic Oncologist
1201 S Main St
Fort Worth
, Texas 76104-4804
(817) 702-8450
Write a Review Share Save Call
About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Gennady G Miroshnichenko
- Po Box 732973
- Dallas, TX
- Zip : 75373-2973
- Phone : (817) 702-8450
Second Address
- Gennady G Miroshnichenko
- 1201 S Main St
- Fort Worth, TX
- Zip : 76104-4804
- Fax : (817) 702-6561
- Phone : (817) 702-6500
Reviews
FAQs
Where did Gennady G Miroshnichenko attend graduate school?
Where did Gennady G Miroshnichenko do his residency?
Where did Gennady G Miroshnichenko do his fellowship?
Is Gennady G Miroshnichenko board certified?
What type of doctor is Gennady G Miroshnichenko
In what state does Gennady G Miroshnichenko practice in?
Where is Gennady G Miroshnichenko ’s practice located?
What is Gennady G Miroshnichenko ’s gender?
Is Gennady G Miroshnichenko a sole practitioner?
Is Gennady G Miroshnichenko accepting new patients?
What languages does Gennady G Miroshnichenko speak?
Does Gennady G Miroshnichenko accept insurance?
Does Gennady G Miroshnichenko offers telemedicine?
What is Gennady G Miroshnichenko ’s professional license number?
What is Gennady G Miroshnichenko ’s NPI number?
Does Gennady G Miroshnichenko have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | P4595 | TX |
| Y | 207VX0201X | Gynecologic Oncologist | P4595 | TX |
National Provider Identifier
| NPI | 1164784450 |
|---|---|
| Provider Name | Gennady G Miroshnichenko |
| First Address | Dallas, TX 75373-2973 |
| Second Address | Fort Worth, TX 76104-4804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2012 |
| Last Update Date | 01/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 307460101 | (05) | TX |
| 8DM684 | BCBS (01) | TX |
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.