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Individual

DR. GAGARINI TITOV ESPINO

Active
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Individual

DR. GAGARINI TITOV ESPINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD432789
PA
2085N0904X
Nuclear Radiology Physician
MD432789
PA
2085R0202X
Diagnostic Radiology Physician
Primary
180989
NY
2085R0202X
Diagnostic Radiology Physician
MD432789
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD432789
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001886747
PA
05
01600004
NY
05
035836300
MD
01
1583308
GATEWAY-WMG
PA
01
20077142
AMERIHEALTH MERCY-WMG
PA
01
2076065
HIGHMARK BLUE SHIELD-WMG
PA
01
258292
UNISON
PA
01
919374
CAREFIRST MD BCBS-WMG
MD
Enumeration date
08/25/2005
Last updated
10/13/2014
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