Individual
NIKI YANNARAS CONSTANTINOU
Active
Individual
NIKI YANNARAS CONSTANTINOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.099134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065387
—
OH
01
—
204881619
KAISER
OH
01
—
204881619259
CARESOURCE
OH
01
—
9619940
AETNA
OH
Enumeration date
10/16/2007
Last updated
09/05/2012
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