Individual
AKIVA DMITRY GIMPELEVICH
Active
Individual
AKIVA DMITRY GIMPELEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
64219
GA
207VX0000X
Obstetrics Physician
64219
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100972A
—
GA
Enumeration date
01/16/2008
Last updated
06/09/2020
Update your record
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