Panakos, Constantine Paul
Panakos, Constantine Paul is an individual health care provider with primary practice located at 606 N Mulberry Rd Tanglewood Medical Center, Pa, Derby KS 67037-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Panakos, Constantine Paul can be contacted via phone (316) 788-3787.Contact Information
Primary practice address
606 N Mulberry Rd Tanglewood Medical Center, Pa
Derby KS 67037-3532
Phone: (316) 788-3787
Fax: (316) 788-2618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0530413 | Kansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3867 | Iowa |
Profile Details
| NPI number | 1114949179 |
|---|---|
| LBN Legal business name | Panakos, Constantine Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Apr 6th, 2015 - about 9 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 | 1114949179 | NPPES |
| Other | 71590 | BCBS | |
| MEDICAID | 1114949179 | BCBS |
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