Derimanov, Geo Smith
Derimanov, Geo Smith is an individual health care provider with primary practice located at 3400 Spruce Street 8 Penn Tower, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Derimanov, Geo Smith can be contacted via phone (215) 662-2415.Contact Information
Primary practice address
3400 Spruce Street 8 Penn Tower
Philadelphia PA 19104
Phone: (215) 662-2415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD068235L | Pennsylvania |
Profile Details
| NPI number | 1932135407 |
|---|---|
| LBN Legal business name | Derimanov, Geo Smith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Nov 13th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932135407 | NPPES |
| Pennsylvania | MEDICAID | 00B962240001 |
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