Demopoulos, Alexis
Demopoulos, Alexis is an individual health care provider with primary practice located at Cancer Institute 85 Retreat Avenue, Hartford CT 06106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Demopoulos, Alexis can be contacted via phone (860) 696-5169.Contact Information
Primary practice address
Cancer Institute 85 Retreat Avenue
Hartford CT 06106
Phone: (860) 696-5169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 72136 | Connecticut |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 211455 | New York |
Profile Details
| NPI number | 1336210426 |
|---|---|
| LBN Legal business name | Demopoulos, Alexis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Mar 4th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336210426 | NPPES |
| New York | MEDICAID | 2684348 |
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