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NPI Code Detail

MEDICARE: DR. MICHAEL HERMAN ANIKEEV M.D.

MEDICARE:  DR. MICHAEL HERMAN ANIKEEV  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianAG3361893-B410NM
22084P0800XPsychiatry Physician35.091515OH

General Provider Information

NPI Number : 1851582886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL HERMAN ANIKEEV M.D.
Provider Business Mailing Address
First Line : 7135 SNOWBERRY LN
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-9111
Country : US
Telephone Number : 612-225-5512
Fax Number :
Provider Business Practice Location Address
First Line : 12395 MCCRACKEN RD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-2967
Country : US
Telephone Number : 216-587-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 11/23/2020

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