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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 Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for VITALIY D GAVRIKOV · (Male)

NPI Number 1568671444
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 08/12/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 061430
  • GA Medicaid 1568671444
Hospital affiliation(s) Not Available
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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