| Doctor Name: | MIKHAIL DVORKIN |
| NPI Number: | 1497144695 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 201511024023 |
| Business Practice Address: | 9450 E Mississippi Ave Unit F Denver, CO - 802472427 |
| Business Phone Number: | 7202710914 |
| Business Fax Number: | |
| Mailing Address: | 9450 E Mississippi Ave Unit F, DENVER |
| State: | CO |
| Postal Code: | 802472427 |
| Phone Number: | 7202710914 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2015 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 201511024023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |