Individual
NICHOLAS S MIRKOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3219 CLIFTON AVE STE 300, CINCINNATI, OH 45220-3045
(513) 354-3700
(513) 751-0023
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 751-0023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-05-1910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703859
—
OH
05
—
200025310
—
IN
Enumeration date
07/15/2005
Last updated
09/07/2021
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