Individual
PANAYIOTIS A. BALTATZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0028949
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010019494
RAILROAD MEDICARE
GA
01
—
199472YDHY
MEDICARE
MD
01
—
2110
MEDICARE
MD
01
—
359441600
MEDICAL ASSISTANCE
MD
Enumeration date
06/24/2006
Last updated
03/18/2011
Update your record
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