# DR. PHILIP JOHN MIKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811910425
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 115728 | NY | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 01/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000408519001 | BSNENY | NY |
| 05 | — | 00527477 | — | NY |
| 01 | — | 041208000020 | FIDELIS - INT MEDICINE | NY |
| 01 | — | 070119000062 | FIDELIS - ENDOCRINOLOGY | NY |
| 01 | — | 10001371 | CDPHP | NY |
| 01 | — | 11120 | MVP | NY |
| 01 | — | 200097 | SENIOR WHOLE HEALTH | NY |
| 01 | — | 28102 | MVP | NY |
| 01 | — | 28N081 | EMPIRE BC | NY |
| 01 | — | 4625730 | AETNA | NY |
| 01 | — | 47346 | GHI/HMO | NY |