Pappas, Anastasios Angelo

Pappas, Anastasios Angelo is an individual health care provider with primary practice located at 400 Selby Ave Ste S , Saint Paul MN 55102-4520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pappas, Anastasios Angelo can be contacted via phone (952) 373-4123.

Contact Information

Primary practice address
400 Selby Ave Ste S Saint Paul MN 55102-4520
Fax: (651) 383-4947
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 51009 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4426 South Dakota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 41400 Minnesota

Profile Details

NPI number 1912904970
LBN Legal business name Pappas, Anastasios Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912904970 NPPES
South Dakota MEDICAID 5900330

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