Kangadis, Socrates Thomas

Kangadis, Socrates Thomas is an sole proprietor health care provider with primary practice located at 2309 31St St Unit # 3, Astoria NY 11105-2767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kangadis, Socrates Thomas can be contacted via phone (718) 204-2200.

Contact Information

Primary practice address
2309 31St St Unit # 3 Astoria NY 11105-2767
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 258353 New York

Profile Details

NPI number 1407094410
LBN Legal business name Kangadis, Socrates Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2009
Last updated Jun 20th, 2011 - about 15 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 1407094410 NPPES
New York MEDICAID 03268095

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