Panagotacos, Peter John
Panagotacos, Peter John is an individual health care provider with primary practice located at 2001 Union St Suite #520, San Francisco CA 94123-4114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Panagotacos, Peter John can be contacted via phone (415) 922-3344.Contact Information
Primary practice address
2001 Union St Suite #520
San Francisco CA 94123-4114
Phone: (415) 922-3344
Fax: (415) 921-7759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | C36061 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | C36061 | California |
Profile Details
| NPI number | 1740302868 |
|---|---|
| LBN Legal business name | Panagotacos, Peter John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Aug 13th, 2018 - about 6 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 | 1740302868 | NPPES |
| California | Other | ZZZ53573Z | ANTHEM |
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