Konofaos, Petros

Konofaos, Petros is an individual health care provider with primary practice located at 1005 Harborside Dr 5Th Floor, Galveston TX 77555-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Konofaos, Petros can be contacted via phone (409) 772-8115.

Contact Information

Primary practice address
1005 Harborside Dr 5Th Floor Galveston TX 77555-0001
Phone: (409) 772-8115
Fax: (409) 772-1872
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X U1064 Texas
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD50989 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X U1064 Texas
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X U1064 Texas

Profile Details

NPI number 1720364367
LBN Legal business name Konofaos, Petros
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated May 22nd, 2023 - about last year

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 1720364367 NPPES
Mississippi MEDICAID 08231501
Mississippi MEDICAID 003180136A
Mississippi MEDICAID Q007443
Mississippi MEDICAID 1720364367
Mississippi MEDICAID 177445
Mississippi MEDICAID 204025001

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