Individual
DR. ALEX MIRZOEV
Active
Individual
DR. ALEX MIRZOEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
35.144543
OH
2084N0400X
Neurology Physician
Primary
35.144543
OH
2084N0400X
Neurology Physician
82297
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822970
—
SC
Enumeration date
05/05/2015
Last updated
06/21/2023
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