Individual
GLEN PAPAIOANNOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 PENTAGON BLVD STE 400, BEAVERCREEK, OH 45431-1705
(374) 902-2649
(937) 281-3913
Mailing address
3535 PENTAGON BLVD STE 400, BEAVERCREEK, OH 45431-1705
(937) 490-2264
(937) 490-2266
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01070680A
IN
207RH0003X
Hematology & Oncology Physician
35.085213
OH
207RX0202X
Medical Oncology Physician
Primary
35.085213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2916321
—
OH
Enumeration date
05/25/2007
Last updated
03/31/2025
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