Individual
DR. CHRIS C. PANAGOULIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3 WATER ST, SUITE 101, NASHUA, NH 03060-3314
(603) 883-1321
(603) 883-1373
Mailing address
17 GRANT LN, OGUNQUIT, ME 03907-3647
(603) 883-1321
(603) 883-1373
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
NH123
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0308235Y0NH01
ANTHEM
NH
01
—
713977
TUFTS HEALTH PLAN
NH
Enumeration date
06/22/2005
Last updated
04/09/2021
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