Individual provider · Type 1 NPI
Sergey Mirakov, MD
Addiction Psychiatry Physician · Coatesville, PA
NPI number
1629347182
Active
Practice location
1400 Blackhorse Hill Road, Bldg 39, ROOMB06G
Coatesville, PA 19320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | MD460854 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT204799 (PA) |
| Addiction Psychiatry Physician Primary | 2084P0802X | ME138827 (FL) |
| Addiction Psychiatry Physician | 2084P0802X | MD460854 (PA) |
| Psychiatry Physician | 2084P0800X | 10276247-1205 (UT) |
Addiction Psychiatry Physician: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
6 other providers at this address
- D. Mark Gillespie, RPHPharmacist Coatesville, PA NPI 1013017409
- Diana Marie Zinnie, LCSWClinical Social Worker Coatesville, PA NPI 1679046031
- Katherine Trexler, PharmDPharmacist Coatesville, PA NPI 1205231370
- Lori L. Heun, M.S., CCC-SLPSpeech-Language Pathologist Coatesville, PA NPI 1871826602
- Okema Denise Scott-ThomasClinical Social Worker Coatesville, PA NPI 1235236753
- William Allan Best Sr., RPHPharmacist Coatesville, PA NPI 1043319403
About NPI 1629347182
Sergey Mirakov, MD's National Provider Identifier is 1629347182, issued on Dec 29, 2011. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in Coatesville, PA. The record was last updated on Jul 21, 2022.