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Individual
DHIMITRI ARIAN NIKOLLA
Active
Individual
DHIMITRI ARIAN NIKOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS019010
PA
207P00000X
Emergency Medicine Physician
OT016316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS019010
PENNSYLVANIA MEDICAL LICENSE
PA
Enumeration date
04/21/2015
Last updated
03/12/2019
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