Individual
MICHAEL M MIKHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 SHANDON PL, MALVERN, PA 19355-3176
(610) 314-3657
(610) 578-0521
Mailing address
111 SHANDON PL, MALVERN, PA 19355-3176
(610) 314-3657
(610) 578-0521
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
C1-0028437
DE
207RX0202X
Medical Oncology Physician
DR.0069833
CO
207RX0202X
Medical Oncology Physician
Primary
MD045335L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015550830002
—
PA
01
—
0276947000
INDEPENDENCE BLUE CROSS
PA
01
—
147753
BLUE SHIELD
PA
Enumeration date
11/20/2006
Last updated
07/10/2025
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