Bravidis, Demetrius E

Bravidis, Demetrius E is an individual health care provider with primary practice located at 838 Penn St , Reading PA 19602-1108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bravidis, Demetrius E can be contacted via phone (610) 988-4838.

Contact Information

Primary practice address
838 Penn St Reading PA 19602-1108
Phone: (610) 988-4838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD070926L Pennsylvania

Profile Details

NPI number 1447221106
LBN Legal business name Bravidis, Demetrius E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 10th, 2016 - about 8 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 1447221106 NPPES
Pennsylvania MEDICAID 1956986

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