Minadakis, Dimitrios N

Minadakis, Dimitrios N is an individual health care provider with primary practice located at 495 Station Ave , South Yarmouth MA 02664-1218. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Minadakis, Dimitrios N can be contacted via phone (774) 552-3208.

Contact Information

Primary practice address
495 Station Ave South Yarmouth MA 02664-1218
Phone: (774) 552-3208
Fax: (320) 202-8949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1916 Minnesota

Profile Details

NPI number 1063852085
LBN Legal business name Minadakis, Dimitrios N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2013
Last updated Oct 5th, 2021 - about 4 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 1063852085 NPPES
Minnesota MEDICAID 1063852085

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