Merine, Dimitri Serge
Merine, Dimitri Serge is an individual health care provider with primary practice located at 21 Crossroads Dr Ste 100, Owings Mills MD 21117-5441. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Merine, Dimitri Serge can be contacted via phone (410) 356-8186.Contact Information
Primary practice address
21 Crossroads Dr Ste 100
Owings Mills MD 21117-5441
Phone: (410) 356-8186
Fax: (410) 356-4180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0037021 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0037021 | Maryland |
Profile Details
| NPI number | 1710950944 |
|---|---|
| LBN Legal business name | Merine, Dimitri Serge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Mar 18th, 2014 - about 10 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 | 1710950944 | NPPES |
| Maryland | Other | KA80 | B/C B/S |
| Maryland | MEDICAID | 546661000 | B/C B/S |
| Maryland | Other | J062 | B/C B/S |
| Maryland | Other | 2849 | B/C B/S |
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