Individual
DMITRIY MARKIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
348977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348977
COUNTY OF SACRAMENTO GENERAL BUSINESS LICENSE
CA
01
—
54748
STATE OF CALIFORNIA HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
08/24/2011
Last updated
11/29/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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