Theodorou, Andreas A
Theodorou, Andreas A is an individual health care provider with primary practice located at 1501 N Campbell Avenue , Tucson AZ 85724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Theodorou, Andreas A can be contacted via phone (520) 626-5485.Contact Information
Primary practice address
1501 N Campbell Avenue
Tucson AZ 85724
Phone: (520) 626-5485
Fax: (520) 626-6571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 20857 | Arizona |
Profile Details
| NPI number | 1649343500 |
|---|---|
| LBN Legal business name | Theodorou, Andreas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | May 29th, 2013 - about 11 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 | 1649343500 | NPPES |
| Arizona | MEDICAID | 112524 |
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