Theoharidis, Akilis Mike

Theoharidis, Akilis Mike is an individual health care provider with primary practice located at 407 Ne 76Th Ter , Gladstone MO 64118-1708. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Theoharidis, Akilis Mike can be contacted via phone (816) 436-7900.

Contact Information

Primary practice address
407 Ne 76Th Ter Gladstone MO 64118-1708
Phone: (816) 436-7900
Fax: (816) 436-0999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000747 Missouri
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 12-00294 Kansas
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000747 Missouri

Profile Details

NPI number 1912933474
LBN Legal business name Theoharidis, Akilis Mike
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 23rd, 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 1912933474 NPPES
Missouri MEDICAID 308471408
Missouri Other 480031700
Missouri MEDICAID 308471432
Missouri Other 23501026
Missouri Other 480031697

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