Individual
DR. NIKOLAY G NIKOLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 E NICOLLET BLVD, BURNSVILLE, MN 55337-4522
(952) 460-4000
(952) 460-4120
Mailing address
303 E NICOLLET BLVD, BURNSVILLE, MN 55337-4522
(952) 460-4000
(952) 460-4120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45808
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405823
MEDICA #
MN
01
—
0405824
MEDICA #
MN
01
—
0408276
MEDICA #
MN
01
—
051G9NI
MNBS #
MN
01
—
052G0NI
MNBS #
MN
01
—
052G1NI
MNBS #
MN
01
—
137060
UCARE #
MN
01
—
1885619
AMERICA'S PPO/ARAZ #
MN
01
—
23434
NDBS #
MN
05
—
428990100
—
MN
01
—
DA9041034917
PREFERRED ONE #
MN
01
—
HP39505
HEALTHPARTNERS #
MN
Enumeration date
05/30/2006
Last updated
10/04/2010
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