Healthcare Provider Details

I. General information

NPI: 1427964261
Provider Name (Legal Business Name): DMITRY ROGOVIN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 FIFTH AVE SUITE 402 KAUFMANN BLDG
PITTSBURGH PA
15213
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER-PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMT238478
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: