Individual
DR. IRINA MIKOLAENKO
Active
Individual
DR. IRINA MIKOLAENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
248672
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35088734
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
40998
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224455
UNISON
OH
01
—
000000528774
ANTHEM
OH
01
—
0127464
BCMH
OH
05
—
2691298
—
OH
01
—
363842
WELLCARE
OH
01
—
7301634
AETNA
OH
01
—
744994
BUCKEYE
OH
01
—
P00426302
RAILROAD MEDICARE
OH
Enumeration date
04/25/2006
Last updated
09/29/2016
Update your record
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