Individual
DIMITRIOS PANAGAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 MONTEREY HWY STE 10, SAN JOSE, CA 95112-6126
(408) 477-8080
Mailing address
1901 MONTEREY HWY STE 10, SAN JOSE, CA 95112-6126
(408) 477-8080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59915
CA
Other
Enumeration date
10/05/2021
Last updated
05/18/2023
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