National Provider Identifier Database

ROMAN MIRSKY, MD – NPI #1114915527
Nuclear Imaging & Therapy


Contact Information

ROMAN MIRSKY, MD
1111 6TH AVE
DES MOINES, IA50314-2613
Phone: 515-643-2667
Fax: 515-643-2978
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for ROMAN MIRSKY

NPI Number 1114915527
Credentials MD
Entity Individual
Enumeration date 10/10/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 36065
  • IA Medicaid: 0460709
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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