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Individual

ABRAHAM MIKALOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6100 E MAIN ST STE 101, COLUMBUS, OH 43213-3399
(614) 367-1234
(614) 367-1233
Mailing address
PO BOX 9664, BEXLEY, OH 43209-0664
(614) 367-1234
(614) 367-1233

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35057674
OH
208D00000X
General Practice Physician
Primary
35057674
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0232221
OH
05
0837009
OH
Enumeration date
12/12/2006
Last updated
04/18/2025
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