Photiadis, James

Photiadis, James is an individual health care provider with primary practice located at 2015 Jackson St , Anderson IN 46016-4337. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Photiadis, James can be contacted via phone (812) 649-2511.

Contact Information

Primary practice address
2015 Jackson St Anderson IN 46016-4337
Phone: (812) 649-2511
Fax: (812) 649-7867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35451 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01061798A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35451 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01061798A Indiana

Profile Details

NPI number 1861428732
LBN Legal business name Photiadis, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 22nd, 2020 - 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 1861428732 NPPES
Kentucky Other 000000664846 ANTHEM - NICC
Kentucky MEDICAID 7100063510 ANTHEM - NICC
Kentucky Other 115372 ANTHEM - NICC
Kentucky MEDICAID 200192420 ANTHEM - NICC

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