Nikolay Mindadze, MD,LLC
Organization Active NPI Surgery Physician · Newark, DE
NPI 1114125309 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1114125309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- C10008143 (DE)
- Legal business name
- NIKOLAY MINDADZE, MD,LLC
- Practice address
- 774 Christiana Rd
Newark, DE 19713-4236 - Phone
- (302) 366-7671
- Fax
- (302) 366-7549
- NPI assigned
- Jul 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Nikolay Mindadze, PHYSICIAN
- Title
- Owner
- Phone
- (302) 366-7671
Practitioners 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | C10008143 | DE | Yes |
Addresses
Primary practice location
774 Christiana Rd
Newark, DE 19713-4236
Mailing address
774 Christiana Rd
Newark, DE 19713-4236
Phone (302) 366-7671
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.