Individual provider · Type 1 NPI

Mikhail Shakhmatov, MD

Student in an Organized Health Care Education/Training Program · Montgomery, AL

NPI number 1356851562 Active

Practice location

4371 Narrow Lane Rd Ste 100
Montgomery, AL 36116-2975

Call (334) 613-3680 Map

Fax (334) 613-3685

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XL.4599 (AL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356851562

Mikhail Shakhmatov, MD's National Provider Identifier is 1356851562, issued on Oct 3, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montgomery, AL. The record was last updated on Oct 3, 2017.