Individual
DR. DMITRI E SAMOILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101250121
VA
2085R0202X
Diagnostic Radiology Physician
4301084255
MI
2085R0204X
Vascular & Interventional Radiology Physician
0101250121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10078329S
SENTARA
VA
01
—
139178
BCBS OF VA
VA
05
—
1467697870
—
VA
01
—
1720079254
VA PREMIER
VA
05
—
5917912
—
NC
01
—
P00953006
RAILROAD MEDICARE
VA
Enumeration date
12/15/2008
Last updated
02/07/2014
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