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Individual
JOHN MANTZOURANIS TRAHANAS
Active
Individual
JOHN MANTZOURANIS TRAHANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
63931
TN
2086S0102X
Surgical Critical Care Physician
63931
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
63931
TN
390200000X
Student in an Organized Health Care Education/Training Program
2833341
NY
390200000X
Student in an Organized Health Care Education/Training Program
4301105634
MI
Other
Enumeration date
05/05/2011
Last updated
03/14/2022
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