VITALIY D GAVRIKOV M.D. – NPI #1568671444
Nuclear Medicine

A nuclear medicine physician who specializes in nuclear imaging and therapy.

VITALIY GAVRIKOV is a physician located in ATLANTA, GA. NPPES has assigned the NPI number 1568671444 to VITALIY GAVRIKOV on May 21, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207UN0902X from the Health Care Provider Taxonomy code set, which is classified as Nuclear Medicine, specializing in Nuclear Imaging & Therapy

The NPI profile was previously updated about 18 years ago on Aug 12, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VITALIY GAVRIKOV below.

NPI Profile for
VITALIY D. GAVRIKOV

NPI Number
1568671444
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
VITALIY D. GAVRIKOV
Professional Name: VITALIY D GAVRIKOV
Credentials
M.D.
Primary location
1365 CLIFTON ROAD, NE
SUITE AT635
ATLANTA, GA 30322
Phone: (404) 778-2650 Fax: (404) 778-4296
Mailing address
1365 CLIFTON RD NE
SUITE AT635
ATLANTA, GA 30322-1013
Phone: (404) 778-2650 Fax: (404) 778-4296
Sole Proprietor
No
Updated
Identifiers

Identifiers for VITALIY GAVRIKOV

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA1568671444
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207UN0902X
- Nuclear Medicine / Nuclear Imaging & Therapy (Primary)
GA 061430

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.