Individual provider · Type 1 NPI

Dimitri Daraselia, MD

Student in an Organized Health Care Education/Training Program · Mobile, AL

NPI number 1306766928 Active

Practice location

1720 Spring Hill Ave Ste 202
Mobile, AL 36604-1409

Call (251) 435-7554 Map

Fax (251) 435-6629

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306766928

Dimitri Daraselia, MD's National Provider Identifier is 1306766928, issued on Jul 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mobile, AL. The record was last updated on Jul 16, 2026.