Individual
DR. ANTONIS PRATSOS
Active
Individual
DR. ANTONIS PRATSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD419056
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019212830001
—
PA
01
—
1412018
BLUE SHIELD
PA
01
—
2099070000
KEYSTONE
—
01
—
231718130
UNITED HEALTHCARE
PA
01
—
CF6196
RAILROAD MEDICARE
PA
Enumeration date
05/24/2005
Last updated
09/09/2019
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