Individual
DR. NICHOLAOS V KEHAGIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
428 S GILBERT RD STE 115, GILBERT, AZ 85296-2262
(480) 507-2961
(480) 507-2971
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48842
AZ
208600000X
Surgery Physician
R72240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
906289
—
AZ
01
—
P01352476
MEDICARE RR
AZ
Enumeration date
07/14/2010
Last updated
03/07/2023
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