Kapordelis, Konstantinos

Kapordelis, Konstantinos is an sole proprietor health care provider with primary practice located at 21421 Kelly Rd , Eastpointe MI 48021-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kapordelis, Konstantinos can be contacted via phone (586) 779-9899.

Contact Information

Primary practice address
21421 Kelly Rd Eastpointe MI 48021-3215
Fax: (586) 773-7800
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041225 Michigan

Profile Details

NPI number 1467482521
LBN Legal business name Kapordelis, Konstantinos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Oct 1st, 2012 - about 13 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 1467482521 NPPES
Michigan MEDICAID 4690260 10

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