Individual
DR. PANAGIOTIS MIHALIS FIDIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-7054
(603) 580-6747
Mailing address
7 HOLLAND WAY FL 1, EXETER, NH 03833-2937
(603) 580-6753
(603) 580-6840
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
77854
MA
207RX0202X
Medical Oncology Physician
Primary
49332
AZ
207RX0202X
Medical Oncology Physician
77854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077854
TUFTS HEALTH PLAN
MA
05
—
3080576
—
NH
05
—
3188001
—
MA
01
—
J19643
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
10/10/2024
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