Mavroidis, Demetrios K.

Mavroidis, Demetrios K. is an individual health care provider with primary practice located at 5320 S. Rainbow Blvd Suite 282, Las Vegas NV 89118-1895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mavroidis, Demetrios K. can be contacted via phone (702) 737-3808.

Contact Information

Primary practice address
5320 S. Rainbow Blvd Suite 282 Las Vegas NV 89118-1895
Phone: (702) 737-3808
Fax: (702) 737-7364
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 9145 Nevada

Profile Details

NPI number 1184602914
LBN Legal business name Mavroidis, Demetrios K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Feb 25th, 2014 - about 11 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 1184602914 NPPES
Nevada MEDICAID 002018224

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