Individual
DR. COSTAS H KEFALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
570 WHITE POND DR, SUITE 100, AKRON, OH 44320-4205
(330) 869-0124
(330) 869-2852
Mailing address
570 WHITE POND DR, SUITE 100, AKRON, OH 44320-4205
(330) 869-0124
(330) 869-2852
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35075208K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000285610
BCBS
OH
01
—
106645
UHC
OH
05
—
2398605
—
OH
01
—
2901130
UHC
OH
01
—
341296621CK
SUMMACARE
OH
01
—
641296621027
CARESOURCE
OH
01
—
730007
BUCKEYE MEDICAID
OH
01
—
8466976
AETNA
OH
01
—
P00032896
RAILROAD MEDICARE
OH
Enumeration date
10/31/2005
Last updated
08/25/2010
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