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MR. NICHOLAS PETER XENOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9330 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4308
(865) 691-4850
(865) 539-5073
Mailing address
9330 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4308
(865) 691-4850
(865) 539-5073

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01046596A
IN
207RC0000X
Cardiovascular Disease Physician
32179
KY
207RI0011X
Interventional Cardiology Physician
Primary
39685
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000112862
ANTHEM BCBS
KY
01
060058270
RAILROAD MEDICARE
KY
01
1116387
PASSPORT HEALTH PLAN
KY
01
1166305
CHA PROVIDER NETWORK
05
200106000
IN
01
25-00486
UNITED HEALTHCARE
KY
01
299856
FEDERAL BLACK LUNG PROGRA
KY
01
3154073
BCBS TENNESSEE
01
415632P
SIHO
IN
01
5156752
AETNA
KY
01
6113371060A12
ANTHEM SR. ADVANTAGE
KY
05
64321797
KY
01
7233954008
CIGNA
Enumeration date
10/27/2006
Last updated
04/09/2021
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