Panagiotis, Nicholas Michael
Panagiotis, Nicholas Michael is an sole proprietor health care provider with primary practice located at 18370 Burbank Blvd 507, Tarzana CA 91356-2804. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Panagiotis, Nicholas Michael can be contacted via phone (818) 774-9200.Contact Information
Primary practice address
18370 Burbank Blvd 507
Tarzana CA 91356-2804
Phone: (818) 774-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A23551 | California |
Profile Details
| NPI number | 1255313458 |
|---|---|
| LBN Legal business name | Panagiotis, Nicholas Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Oct 2nd, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255313458 | NPPES |
| California | MEDICAID | 00A235510 |
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