Individual
DR. ILDIKO G. MIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4123 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207
(502) 899-6700
(502) 899-6740
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34969
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076310
BCBS
KY
Enumeration date
01/31/2007
Last updated
10/26/2020
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