Gagarin, Dmitri Andreyevich

Gagarin, Dmitri Andreyevich is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Fl 4 , Abingdon VA 24211-7664. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gagarin, Dmitri Andreyevich can be contacted via phone (276) 258-1000.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Fl 4 Abingdon VA 24211-7664
Phone: (276) 258-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2081H0002X D0082658 Maryland
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.096436 Ohio

Profile Details

NPI number 1114109089
LBN Legal business name Gagarin, Dmitri Andreyevich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Nov 28th, 2023 - about 3 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

Identifiers

StateTypeNumberIssuer
All States NPI 1114109089 NPPES
Ohio MEDICAID 3139008

Popular Providers