Individual
DR. DIMITRI D. MARKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 S 9TH ST, SUITE 500, PHILADELPHIA, PA 19107-6810
(215) 955-6175
(215) 955-9783
Mailing address
211 S 9TH ST, SUITE 500, PHILADELPHIA, PA 19107-6810
(215) 955-6175
(215) 955-9783
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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