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Contact Information

ROSEN K DIMITROV, MD
640 JACKSON ST
SAINT PAUL, MN55101-2502
 Phone: 952-967-7977
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ROSEN K DIMITROV · (Male)

NPI # 1841273638
Status Active
Credentials MD
Entity Individual
Enumeration date 11/25/2005
Last updated 08/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01059563A
  • MN License # 73085
  • WI License # 45659-020
  • IN Medicaid 200857100
  • WI Medicaid 34550200
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL - (Acute Care)
    5165 MCCARTY LN
    LAFAYETTE, IN 47905
  • INDIANA UNIVERSITY HEALTH NORTH HOSPITAL - (Acute Care)
    11700 N MERIDIAN ST
    CARMEL, IN 46032
  • WILLIAM N WISHARD MEMORIAL HOSPITAL - (Acute Care)
    720 ESKENAZI AVENUE
    INDIANAPOLIS, IN 46254
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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