Gennady G Miroshnichenko, MD is a gynecologic oncology obstetrics gynecology in Fort Worth, TX with 30 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Gennady G Miroshnichenko, MD NPI is 1164784450. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1201 S MAIN ST
FORT WORTH, TX
ZIP 76104-804
Phone: (817) 702-6500
Fax: (817) 702-6561
The NPI 1164784450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/12/2012 and was last updated on 2/1/2021.