Gavrikov, Vitaliy D
Gavrikov, Vitaliy D is an individual health care provider with primary practice located at 1365 Clifton Road, Ne Suite At635, Atlanta GA 30322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as his primary health care specialty. Gavrikov, Vitaliy D can be contacted via phone (404) 778-2650.Contact Information
Primary practice address
1365 Clifton Road, Ne Suite At635
Atlanta GA 30322
Phone: (404) 778-2650
Fax: (404) 778-4296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 061430 | Georgia |
Profile Details
| NPI number | 1568671444 |
|---|---|
| LBN Legal business name | Gavrikov, Vitaliy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Aug 12th, 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 | 1568671444 | NPPES |
| Georgia | MEDICAID | 1568671444 |
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