Misailidis, Dimitri
Misailidis, Dimitri is an individual health care provider with primary practice located at 300 Foxcroft Ave Suite 202B, Martinsburg WV 25401-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Misailidis, Dimitri can be contacted via phone (304) 263-4967.Contact Information
Primary practice address
300 Foxcroft Ave Suite 202B
Martinsburg WV 25401-5341
Phone: (304) 263-4967
Fax: (304) 267-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 15875 | West Virginia |
Profile Details
| NPI number | 1053356204 |
|---|---|
| LBN Legal business name | Misailidis, Dimitri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Feb 1st, 2013 - about 11 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 | 1053356204 | NPPES |
| West Virginia | Other | 000848955 | WV BCBS |
| West Virginia | MEDICAID | 0118129000 | WV BCBS |
| West Virginia | MEDICAID | 535851500 | WV BCBS |
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