NPI 1508817032 · live from the CMS NPI Registry
Maxim Itkin, MD
Radiology, Pediatric Radiology in Wilmington, DE. National Provider Identifier 1508817032, active.
NPI record
| NPI | 1508817032 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Pediatric Radiology 2085P0229X |
| Practice location | 1600 Rockland Rd, Wilmington, DE 19803 |
| Practice phone | 302-651-4200 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | May 12, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MD420248 (PA) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | MD420248 (PA) |
| Radiology, Pediatric Radiology primary | 2085P0229X | C1-0012739 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.