Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sergey Mirakov, MD

Individual provider Psychiatry Physician · NPI 1629347182

Dr. Sergey Mirakov, MD is a Psychiatry Physician in Coatesville, Pennsylvania. Licensed in Florida, Pennsylvania and Utah. Registered with an NPI since 2011.

Licensed in
FL, PA, UT
In the registry since
2011
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Blackhorse Hill Rd Bldg 39 ROOMB06G
Coatesville, PA 19320
Phone: (610) 384-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X · Licence ME138827 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD460854 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT204799 (PA)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence MD460854 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 10276247-1205 (UT)

Record details

NPI number1629347182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2011
Last updated in NPPESJuly 21, 2022
Certification dateMarch 4, 2020
Mailing address1400 Blackhorse Hill Road, Bldg 39, Roomb06g, Coatesville, PA 19320

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