Anastassiades, Constantinos P

Anastassiades, Constantinos P is an individual health care provider with primary practice located at 11100 Euclid Ave Wearn 247, Cleveland OH 44106-1716. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Anastassiades, Constantinos P can be contacted via phone (216) 844-5386.

Contact Information

Primary practice address
11100 Euclid Ave Wearn 247 Cleveland OH 44106-1716
Phone: (216) 844-5386
Fax: (216) 983-0347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 35.096540 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35-096540 Ohio

Profile Details

NPI number 1437290053
LBN Legal business name Anastassiades, Constantinos P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Dec 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437290053 NPPES
Minnesota MEDICAID 866485000
Minnesota MEDICAID 0068576

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