National Provider Identifier Database

VITALIY D GAVRIKOV, MD – NPI #1568671444
Nuclear Imaging & Therapy


Contact Information

VITALIY D GAVRIKOV, MD
1365 CLIFTON ROAD, NE
SUITE AT635
ATLANTA, GA30322
Phone: 404-778-2650
Fax: 404-778-4296
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for VITALIY D GAVRIKOV

NPI Number 1568671444
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 08/12/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 061430
  • GA Medicaid: 1568671444
Hospital affiliation n/a

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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