MD Maxim Itkin, NPI 1508817032
Pediatric Radiology Physician in Wilmington, DE, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508817032
NPI Entity Type Individual
Provider Name MD Maxim Itkin
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1600 Rockland Rd, Wilmington, DE, US
Provider Mailing Address Po Box 191, Rockland, DE, US, 197320191
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085P0229X

Taxonomy Name Pediatric Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. C1-0012739
License State DE
Description A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Business Address

MD Maxim Itkin
1600 Rockland Rd

Wilmington, DE, US

Phone: 302-651-4200

Mailing Address

MD Maxim Itkin
Po Box 191
Rockland, DE, US
ZIP 197320191
Phone: 302-651-4000
Fax: 302-651-4945

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

MD420248 PA No

2085R0204X

Allopathic & Osteopathic Physicians

Radiology

MD420248 PA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
BI9390220 DEA 01
100850250008 PA MEDICAID 05
1008502500007 PA MEDICAID 05

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