Individual
MIKHAIL NIZAMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5253
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000245
CA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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