Diamandidis, Dimitrios T

Diamandidis, Dimitrios T is an individual health care provider with primary practice located at 2650 N Tenaya Way Ste 201 , Las Vegas NV 89128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Diamandidis, Dimitrios T can be contacted via phone (702) 240-0088.

Contact Information

Primary practice address
2650 N Tenaya Way Ste 201 Las Vegas NV 89128
Fax: (702) 240-3049
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 8782 Nevada

Profile Details

NPI number 1063457737
LBN Legal business name Diamandidis, Dimitrios T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 21st, 2018 - about 6 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 1063457737 NPPES
Nevada MEDICAID 002018648
Nevada MEDICAID PENDING
Nevada MEDICAID 0020-18648

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