Dimitrov, Mario Klimentov

Dimitrov, Mario Klimentov is an individual health care provider with primary practice located at 5401 Old Court Road Northwest Hospital Center, Randallstown MD 21133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dimitrov, Mario Klimentov can be contacted via phone (410) 521-2200.

Contact Information

Primary practice address
5401 Old Court Road Northwest Hospital Center Randallstown MD 21133
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002204 Maryland

Profile Details

NPI number 1013939255
LBN Legal business name Dimitrov, Mario Klimentov
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers