Provider Demographics
NPI:1194756429
Name:HOROZOV, NIKOLAY PETROV (MD)
Entity type:Individual
Prefix:
First Name:NIKOLAY
Middle Name:PETROV
Last Name:HOROZOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 CASTLEBURY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5425
Mailing Address - Country:US
Mailing Address - Phone:615-423-6382
Mailing Address - Fax:615-591-4286
Practice Address - Street 1:53 CENTURY BOULEVARD, SUITE 200
Practice Address - Street 2:MHM SERVICES, INC.
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3693
Practice Address - Country:US
Practice Address - Phone:615-884-0282
Practice Address - Fax:615-884-0292
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060055132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
431116734OtherUNITED BEHAVIORAL HEALTH
758953OtherHEALTHLINK HMO
11594367OtherCAQH
431116734OtherTRI CARE WEST
1612489OtherFIRST HEALTH/COVENTRY
AR162776001Medicaid
MO200376200Medicaid
549264OtherBLUE CROSS BLUE SHIELD
MO200376200Medicaid
AR162776001Medicaid