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Individual
NIKITAS ZERVANOS
Active
Individual
NIKITAS ZERVANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD028733L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127113
UNISON
PA
01
—
000018585
HIGHMARK BLUE SHIELD
PA
05
—
000611123 0003
—
PA
01
—
0038413000
AMERIHEALTH 65 / IBC
PA
01
—
080100819
RR MEDICARE
PA
01
—
100338H
AMERIHEALTH MERCY
PA
01
—
50056003
CAPITAL BLUE CROSS
PA
01
—
555775
AETNA - HMO
PA
01
—
5872305
AETNA - NON HMO
PA
01
—
P002762
GATEWAY
PA
Enumeration date
06/12/2006
Last updated
04/12/2011
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