Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 11018069A | IN |
NPI | 1528451754 |
---|---|
Provider Name | Plamen Mihaylov |
First Address | Indianapolis, IN 46202-3278 |
Second Address | Indianapolis, IN 46202-3278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2015 |
Last Update Date | 12/03/2015 |