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

DR. SERGEY MIRAKOV, M.D.

Active

DR. SERGEY MIRAKOV, M.D. is a Psychiatry & Neurology healthcare provider located in COATESVILLE, Pennsylvania. NPI 1629347182 is currently active in the NPPES registry. Verify at CMS.

Psychiatry & Neurology · COATESVILLE, PA

Registration Details

NPI Number
1629347182
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2011 (14.615459045735 yrs)
Last Updated
Jul 21, 2022
Licenses
MD460854 (PA)
MT204799 (PA)
ME138827 (FL)
MD460854 (PA)
10276247-1205 (UT)

Practice Information

Address
1400 BLACKHORSE HILL ROAD
BLDG 39, ROOMB06G
COATESVILLE, PA, 19320
Browse PA providers · Browse ZIP 19320
Phone
6103847711
Primary Specialty
Psychiatry & Neurology
2084P0802X
Additional Specialty
Psychiatry & Neurology
Additional Specialty
Psychiatry & Neurology
Additional Specialty
Psychiatry
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.