Baranov, Dimitry Y

Baranov, Dimitry Y is an individual health care provider with primary practice located at 3400 Spruce Street 4 Dulles, Philadelphia PA 19104-4206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Baranov, Dimitry Y can be contacted via phone (215) 349-8310.

Contact Information

Primary practice address
3400 Spruce Street 4 Dulles Philadelphia PA 19104-4206
Phone: (215) 349-8310
Fax: (215) 662-2739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD064726L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD064726L Pennsylvania

Profile Details

NPI number 1306887781
LBN Legal business name Baranov, Dimitry Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306887781 NPPES
Pennsylvania MEDICAID 0017992490001

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