Individual
CHARLES TANOS BAKHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3509 N. BROAD ST, PHILADELPHIA, PA 19140
(215) 707-8484
(215) 707-3946
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8484
(215) 707-3946
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD458878
PA
Other
Enumeration date
12/01/2007
Last updated
06/18/2018
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