Basic Information
Provider Information
NPI: 1982998696
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NUNEV
FirstName: DINYO
MiddleName: MITKOV
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 LOTHROP ST
Address2: FORBES TOWER, SUITE 9055
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4126473087
FaxNumber: 7185794836
Practice Location
Address1: 4000 JOHNSON ROAD
Address2:  
City: STEUBENVILLE
State: OH
PostalCode: 43952
CountryCode: US
TelephoneNumber: 7402648000
FaxNumber: 7185794836
Other Information
ProviderEnumerationDate: 05/31/2011
LastUpdateDate: 11/22/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  N HospitalsGeneral Acute Care Hospital 
207R00000X35099304OHY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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