Individual
DR. MIKHAIL NOVIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 OKATIE CTR BLVD STE 100, OKATIE, SC 29909-7533
(843) 706-9955
(843) 706-9956
Mailing address
PO BOX 15238, SAVANNAH, GA 31416-1938
(912) 354-4813
(912) 354-7569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-07-5314-N
OH
207RN0300X
Nephrology Physician
Primary
15443
SC
207RN0300X
Nephrology Physician
35-07-5314-N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514438
—
SC
01
—
SCB0527157
MEDICARE
SC
Enumeration date
05/06/2006
Last updated
07/21/2022
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