Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARIO KLIMENTOV DIMITROV, PA-C
ActiveMR. MARIO KLIMENTOV DIMITROV, PA-C is a Medical Physician Assistant healthcare provider located in RANDALLSTOWN, Maryland. NPI 1013939255 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · RANDALLSTOWN, MD
Registration Details
- NPI Number
- 1013939255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.050516389029 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C0002204 (MD)
Practice Information
- Address
-
5401 OLD COURT ROADNORTHWEST HOSPITAL CENTERRANDALLSTOWN, MD, 21133Browse MD providers · Browse ZIP 21133
- Phone
- 4105212200
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in RANDALLSTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| DOROTHY RANSON OUTTEN | PA-C | 1376510693 |
| MRS. NASEEM B MAJID | PA-C | 1780645853 |
| MR. RICHARD C ROHRS | PA-C | 1356302905 |
| MRS. LYNN M NAUMAN | PA-C | 1801858394 |
| JOHN BEDNAR | PA-C | 1720373905 |
| MIKE DESTINE | — | 1679995674 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.