Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 219711 | NY |
NPI | 1417942590 |
---|---|
Provider Name | Mikhail Kazachkov |
First Address | New York, NY 10016-6004 |
Second Address | New York, NY 10016-6004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 02/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0100149-02 | AMERICHOICE (01) | NY |
01995564 | (05) | NY |
113491197 | MULTIPLAN (01) | NY |
113491197 | PHCS (01) | NY |
1Q6441 | EMPIRE BCBS (01) | NY |
2105115-10 | UNITED HEALTH CARE (01) | NY |
219711 | HIP (01) | NY |
219711-A15 | HEALTH FIRST (01) | NY |
2597368 | AETNA USHC HMO (01) | NY |
2603103 | GHI (01) | NY |
2C9630 | HEALTH NET (01) | NY |
344630101 | HEALTH PLUS (01) | NY |
7535054 | AETNA PPO (01) | NY |
82N0231 | NEIGHBORHOOD HEALTH (01) | NY |
H30055 | (02) | NY |
KM9711 | ATLANTIS HEALTH (01) | NY |
P2214173 | OXFORD HEALTH PLAN (01) | NY |