Itkin, Maxim
Itkin, Maxim is an individual health care provider with primary practice located at 1600 Rockland Rd , Wilmington DE 19803-3607. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Itkin, Maxim can be contacted via phone (302) 651-4200.Contact Information
Primary practice address
1600 Rockland Rd
Wilmington DE 19803-3607
Phone: (302) 651-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD420248 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD420248 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | C1-0012739 | Delaware |
Profile Details
| NPI number | 1508817032 |
|---|---|
| LBN Legal business name | Itkin, Maxim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1508817032 | NPPES |
| Pennsylvania | MEDICAID | 100850250008 | |
| Pennsylvania | MEDICAID | 1008502500007 |
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