Individual
DR. ELIAS PITARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1189
(270) 251-4141
(270) 251-4522
Mailing address
1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1189
(270) 251-4141
(270) 251-4522
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
41409
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100043080
—
KY
Enumeration date
03/04/2008
Last updated
01/02/2013
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