DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIKHAIL MIKHAILOVICH GORBOUNOV, MD

Active Sole Proprietor

Anatomic Pathology & Clinical Pathology · PROVIDENCE, RI

Registration Details

NPI Number
1114410875
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2018 (7.881217916713 yrs)
Last Updated
Jul 8, 2024
Licenses
A-177937 (CA)
A-177937 (CA)
MD19925 (RI)
Sole Proprietor
Yes

Practice Information

Address
593 EDDY ST
PROVIDENCE, RI, 029034923
Browse RI providers · Browse ZIP 02903
Phone
4014445057
Fax
4016061233
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X
Additional Specialty
Molecular Genetic Pathology

Other Anatomic Pathology & Clinical Pathology Providers in PROVIDENCE, RI

Name Credential NPI
MARIA GARCIA-MOLINER MD 1144298894
LIANG CHENG M.D. 1528025301
MOHAMMAD RUHUL QUDDUS MD 1346273505
WILLIAM DWAYNE LAWRENCE MD 1902821291
CHIEN-REN JAMES SUNG MD 1336167220
MARGARET STEINHOFF MD 1770507022
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.