Individual
DMITRI ANDREYEVICH GAGARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR FL 4, ABINGDON, VA 24211-7664
(276) 258-1000
Mailing address
7734 ASTERELLA CT, SPRINGFIELD, VA 22152-3141
(202) 415-9039
(888) 435-7279
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.096436
OH
207R00000X
Internal Medicine Physician
0101250254
VA
207R00000X
Internal Medicine Physician
35.096436
OH
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
D0082658
MD
208M00000X
Hospitalist Physician
Primary
0101250254
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139008
—
OH
Enumeration date
12/03/2007
Last updated
02/26/2026
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