Tsangaris, Theodore

Tsangaris, Theodore is an individual health care provider with primary practice located at 1100 Walnut St , Philadelphia PA 19107-5563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tsangaris, Theodore can be contacted via phone (215) 955-6999.

Contact Information

Primary practice address
1100 Walnut St Philadelphia PA 19107-5563
Phone: (215) 955-6999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D40457 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X MD449872 Pennsylvania

Profile Details

NPI number 1033161682
LBN Legal business name Tsangaris, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 2nd, 2014 - about 12 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 1033161682 NPPES
Maryland MEDICAID 193521601
Maryland MEDICAID 0370584

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