Mikhail Zhukalin
Pain Medicine
1648 Pierce Dr. Ne
Atlanta
, Georgia 30307
Mikhail Zhukalin
Pain Medicine
1648 Pierce Dr. Ne
Atlanta
, Georgia 30307
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Mikhail Zhukalin
- 1648 Pierce Dr. Ne
- Atlanta, GA
- Zip : 30307-0000
- Phone :
Second Address
- Mikhail Zhukalin
- 1648 Pierce Dr. Ne
- Atlanta, GA
- Zip : 30307
- Phone : (515) 770-7556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 075424 | GA |
National Provider Identifier
| NPI | 1073812335 |
|---|---|
| Provider Name | Mikhail Zhukalin |
| First Address | Atlanta, GA 30307-0000 |
| Second Address | Atlanta, GA 30307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2011 |
| Last Update Date | 21/03/2016 |
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.