NPI 1114410875

Mikhail Mikhailovich Gorbounov, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Providence, RI

Practice location

Address: 593 Eddy St, Providence, RI 02903-4923
Phone: (401) 444-5057
Fax: (401) 606-1233

Registered specialties (3)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD19925 (RI)

Other Pathology providers in Rhode Island →

Hematology (Pathology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZH0000X Licence A-177937 (CA)

Molecular Genetic Pathology (Pathology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0007X Licence A-177937 (CA)

Registry record

NPI: 1114410875
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2018
Record last updated: 8 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.