Individual
NICHOLAS BAMBAKIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8443
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6950
(216) 383-6749
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35.075004
OH
2085N0700X
Neuroradiology Physician
35.075004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2839085
—
OH
Enumeration date
09/20/2005
Last updated
01/14/2021
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