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General NPI Number Information
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NPI Number | 1043384035
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Entity Type | Individual
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Provider Name | MICHAEL M MIKHAIL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 111 SHANDON PL
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City | MALVERN
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State | PA
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Zip | 19355-3176
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Country | US
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Telephone | 610-314-3657
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Fax | 610-578-0521
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Provider Business Mailing Address
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Address Line | 111 SHANDON PL
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City | MALVERN
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State | PA
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Zip | 19355-3176
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Country | US
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Telephone | 610-314-3657
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Fax | 610-578-0521
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | DR.0069833
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | C1-0028437
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD045335L
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License Number State | PA
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