Individual
DR. CHRISTOS KATAVOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-2335
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082772
—
MA
01
—
J27977
BCBS - MA
MA
Enumeration date
04/14/2006
Last updated
07/14/2008
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