Dimitriou, Steven G
Dimitriou, Steven G is an individual health care provider with primary practice located at 227 N Broad St Ste 301 , Philadelphia PA 19107-1503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dimitriou, Steven G can be contacted via phone (215) 762-7785.Contact Information
Primary practice address
227 N Broad St Ste 301
Philadelphia PA 19107-1503
Phone: (215) 762-7785
Fax: (215) 568-6007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 05012385 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | OS012385 | Pennsylvania |
Profile Details
| NPI number | 1275631632 |
|---|---|
| LBN Legal business name | Dimitriou, Steven G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 15th, 2023 - 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 | 1275631632 | NPPES |
| Pennsylvania | MEDICAID | 1015712120001 |
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