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Individual

DR. DIMITRI D. MARKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD420226
PA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD420226
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019717210002
PA
01
1490030
BLUE SHIELD OF PA
PA
01
2179723000
KEYSTONE HEALTH PLAN EAST
PA
01
7681568
AETNA
PA
Enumeration date
07/28/2006
Last updated
07/12/2016
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