Individual
CHRISTINA MARIE SOTIROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7926 PRESTON HWY, SUITE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14692
MT
208000000X
Pediatrics Physician
Primary
43725
KY
208000000X
Pediatrics Physician
MD423131
PA
208000000X
Pediatrics Physician
TP280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001044333
ANTHEM - NICC
KY
01
—
119293
SIHO - NICC
KY
05
—
200997790
—
IN
05
—
7100130160
—
KY
Enumeration date
08/17/2005
Last updated
12/21/2021
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