Individual provider · Type 1 NPI
Charles Bazemore Mikell Iii, MD
Neurological Surgery Physician · Stony Brook, NY
Practice location
Hsc T12, Room 080
Stony Brook, NY 11794-8122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Neurological Surgery Physician | 207T00000X | TP008 (KY) |
| Neurological Surgery Physician Primary | 207T00000X | 273606 (NY) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
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About NPI 1124254917
Charles Bazemore Mikell Iii, MD's National Provider Identifier is 1124254917, issued on Jun 7, 2009. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 27, 2016.