Grigoropoulos, Jerry
Grigoropoulos, Jerry is an individual health care provider with primary practice located at 1524 Mchenry Ave Suite 100, Modesto CA 95350-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grigoropoulos, Jerry can be contacted via phone (209) 571-6622.Contact Information
Primary practice address
1524 Mchenry Ave Suite 100
Modesto CA 95350-4500
Phone: (209) 571-6622
Fax: (209) 527-2069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | A73614 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A73614 | California |
Profile Details
| NPI number | 1326085671 |
|---|---|
| LBN Legal business name | Grigoropoulos, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Apr 29th, 2008 - about 16 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 | 1326085671 | NPPES |
| California | MEDICAID | 00A736140 |
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