Samoilov, Dmitri E

Samoilov, Dmitri E is an individual health care provider with primary practice located at 5544 Greenwich Rd Ste 200 , Virginia Beach VA 23462-6563. 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. Samoilov, Dmitri E can be contacted via phone (757) 466-0089.

Contact Information

Primary practice address
5544 Greenwich Rd Ste 200 Virginia Beach VA 23462-6563
Phone: (757) 466-0089
Fax: (757) 466-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301084255 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101250121 Virginia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0101250121 Virginia

Profile Details

NPI number 1467697870
LBN Legal business name Samoilov, Dmitri E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Feb 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467697870 NPPES
Virginia MEDICAID 1467697870
Virginia Other 139178
Virginia Other 1720079254
Virginia MEDICAID 5917912
Virginia Other 10078329S
Virginia Other P00953006
Virginia Other 10078329S

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