Dimitrov, Marin

Dimitrov, Marin is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dimitrov, Marin can be contacted via phone (423) 282-1480.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3810
Phone: (423) 282-1480
Fax: (423) 928-1353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD27711 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 27711 Tennessee

Profile Details

NPI number 1649217126
LBN Legal business name Dimitrov, Marin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649217126 NPPES
Tennessee MEDICAID 3098479
Tennessee MEDICAID 3810011575
Tennessee MEDICAID 010185351
Tennessee MEDICAID 3098470

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