Individual
ANASTASIOS SOTIROPOULOS
Active
Individual
ANASTASIOS SOTIROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00393Y
MEDICARE GROUP ID
TX
01
—
0053JB
BLUE CROSS BLUE SHIELD
TX
01
—
1621
MEDICAL LICENSE
TX
01
—
P00217354
MEDICARE RAILROAD
—
Enumeration date
11/04/2007
Last updated
12/03/2008
Update your record
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