Individual
MIKHAIL SHIPOTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2744
TX
208M00000X
Hospitalist Physician
Primary
13523114-1235
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370615201
—
TX
Enumeration date
09/10/2014
Last updated
06/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us