Individual
DR. DIMITRIOS CONSTANTINOS PAPADOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 FORBES PL, SUITE 103, SPRINGFIELD, VA 22151-2208
(703) 824-3200
Mailing address
PO BOX 658, BALTIMORE, MD 21203
(877) 845-9689
(301) 668-1742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
101239386
VA
2085R0202X
Diagnostic Radiology Physician
220316
MA
2085R0204X
Vascular & Interventional Radiology Physician
0101239386
VA
2085R0204X
Vascular & Interventional Radiology Physician
220316
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y007671NH01
NH BLUE SHIELD
NH
05
—
038104200
—
DC
01
—
123003
AETNA/US HEALTHCARE
MA
05
—
2059631
—
MA
01
—
2236708
FIRST HEALTH
MA
01
—
30204331
NH MEDICAID
NH
01
—
469507
TUFTS HEALTH PLAN
MA
01
—
4931751
CIGNA
MA
01
—
5540285
FIRST HEALTH CCN
MA
01
—
68222
HEALTHY START
MA
01
—
90530
FALLON
MA
01
—
971090
NETWORK HEALTH PLAN
MA
01
—
A37109
MEDICARE
MA
01
—
AA14486
HARVARD PILGRIM HEALTH CA
MA
01
—
J26090
BLUE CROSS/BLUE SHIELD
MA
01
—
P00166139
RAIL ROAD MEDICARE
MA
Enumeration date
08/31/2005
Last updated
07/03/2024
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