Individual
DR. DEMOSTHENIS KLONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 117, SANTA FE, NM 87505-7670
(505) 992-2600
(505) 992-2616
Mailing address
PO BOX 22130, SANTA FE, NM 87502-2130
(575) 647-8366
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A-1319-05
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29203708
—
NM
Enumeration date
10/13/2006
Last updated
04/21/2011
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