Tsipouras, Petros

Tsipouras, Petros is an individual health care provider with primary practice located at 65 Kane St , West Hartford CT 06119-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cytogenetic, which is considered as his primary health care specialty. Tsipouras, Petros can be contacted via phone (860) 523-6464.

Contact Information

Primary practice address
65 Kane St West Hartford CT 06119-2110
Fax: (860) 523-6465
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X 027923 Connecticut

Profile Details

NPI number 1699772962
LBN Legal business name Tsipouras, Petros
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 15th, 2012 - 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 1699772962 NPPES
Connecticut MEDICAID 1279231

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