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Organization

ABRAHAM MIKALOV MD INC

Active
Other names
ADVANCED BREAST CARE AND WELLNESS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABRAHAM MIKALOV MD (PRESIDENT)
(614) 367-1234
Entity
Organization

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, COLUMBUS, OH 43209-0664
(614) 367-1234
(614) 367-1233

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0232221
OH
05
0837009
OH
Enumeration date
01/16/2013
Last updated
04/01/2026
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