Dimitrov, Marin
Dimitrov, Marin is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dimitrov, Marin can be contacted via phone (423) 282-1480.Contact Information
Primary practice address
130 W Ravine Rd
Kingsport TN 37660-3810
Phone: (423) 282-1480
Fax: (423) 928-1353
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD27711 | Tennessee |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 27711 | Tennessee |
Profile Details
NPI number | 1649217126 |
---|---|
LBN Legal business name | Dimitrov, Marin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2006 |
Last updated | Sep 24th, 2008 - about 16 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 | 1649217126 | NPPES |
Tennessee | MEDICAID | 3098479 | |
Tennessee | MEDICAID | 3810011575 | |
Tennessee | MEDICAID | 010185351 | |
Tennessee | MEDICAID | 3098470 |
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