DR. SERGEY MIRAKOV M.D. NPI 1629347182

NPI Information

  • NPI: 1629347182
  • Provider Name: DR. SERGEY MIRAKOV, M.D.
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Individual
  • Address: 1400 BLACKHORSE HILL ROAD
    BLDG 39, ROOMB06G
    COATESVILLE, PA
    ZIP 19320
  • Phone: (610) 384-7711

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NPI Details

DR. Sergey Mirakov, M.D. is an addiction psychiatry psychiatry neurology in Coatesville, PA. The provider is 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. DR. Sergey Mirakov, M.D. NPI is 1629347182. 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:

1400 BLACKHORSE HILL ROAD
BLDG 39, ROOMB06G
COATESVILLE, PA
ZIP 19320
Phone: (610) 384-7711

The enumeration date for this NPI number is 12/29/2011 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryMD460854PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramMT204799PENNSYLVANIANo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryME138827FLORIDAYes
42084P0802XPsychiatry & NeurologyAddiction PsychiatryMD460854PENNSYLVANIANo
52084P0800XPsychiatry & NeurologyPsychiatry10276247-1205UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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