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1932203254 NPI number — DMITRIY GUTKIN M.D., PH.D.

NPI Number: 1932203254
Health Care Provider/Practitioner: DMITRIY GUTKIN M.D., PH.D.

Information about “1932203254” NPI (DMITRIY GUTKIN M.D., PH.D.) exists in 1932203254 in HTML format HTML  |  1932203254 in plain Text format TXT  |  1932203254 in PDF (Portable Document Format) PDF  |  1932203254 in an XML format XML  formats.

NPI Number : 1932203254 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932203254",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUTKIN",
    "FirstName": "DMITRIY",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1416 N EUCLID AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15206-1112",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-441-4389",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "VAMC, UNIVERSITY DR. C",
    "SecondLinePracticeLocationAddress": "2NW112",
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15240",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-688-6546",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/08/2006",
    "LastUpdateDate": "01/25/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207ZP0102X",
        "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
        "LicenseNumber": "20376",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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