Provider Demographics
NPI:1760468615
Name:ORLOV, MICHAIL M (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAIL
Middle Name:M
Last Name:ORLOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MIKHAIL
Other - Middle Name:M
Other - Last Name:ORLOV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:LAHEY HOSPITAL & MEDICAL CENTER
Mailing Address - Street 2:41 MALL ROAD
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:978-922-3000
Mailing Address - Fax:978-921-7048
Practice Address - Street 1:BEVERLY HOSPITAL
Practice Address - Street 2:85 HERRICK STREET
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1790
Practice Address - Country:US
Practice Address - Phone:789-922-3000
Practice Address - Fax:978-921-7048
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226378208M00000X
AZ34678207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ981747Medicaid
AZZ106921Medicare PIN
AZZ106922Medicare PIN
I46693Medicare UPIN
AZP00282593Medicare PIN