Individual provider
DMITRI ANDREYEVICH GAGARIN, MD
CMS NPPES lists DMITRI ANDREYEVICH GAGARIN as an individual provider record with NPI 1114109089. The current record reports a primary practice location in ABINGDON, VA and primary taxonomy code 208M00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location16000 JOHNSTON MEMORIAL DR FL 4ABINGDON, VA 242117664
- Additional practice location1275 N High StHillsboro, OH 451338273
- Additional practice location7831 Belle Point DrGreenbelt, MD 207703338
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207P00000XAdditional reported taxonomy2081H0002XAdditional reported taxonomy207R00000XAdditional reported taxonomy208M00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- December 3, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.