Individual
MIKHAIL KAZACHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 E 32ND ST, L3, NEW YORK, NY 10016-6004
(212) 263-5940
(212) 263-9678
Mailing address
160 E 32ND ST, L3, NEW YORK, NY 10016-6004
(212) 263-5940
(212) 263-9678
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
219711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100149-02
AMERICHOICE
NY
05
—
01995564
—
NY
01
—
113491197
MULTIPLAN
NY
01
—
1Q6441
EMPIRE BCBS
NY
01
—
2105115-10
UNITED HEALTH CARE
NY
01
—
219711
HIP
NY
01
—
219711-A15
HEALTH FIRST
NY
01
—
2597368
AETNA USHC HMO
NY
01
—
2603103
GHI
NY
01
—
2C9630
HEALTH NET
NY
01
—
344630101
HEALTH PLUS
NY
01
—
7535054
AETNA PPO
NY
01
—
82N0231
NEIGHBORHOOD HEALTH
NY
01
—
KM9711
ATLANTIS HEALTH
NY
01
—
P2214173
OXFORD HEALTH PLAN
NY
Enumeration date
09/15/2005
Last updated
03/02/2017
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