Individual
MR. NICHOLAS PETER XENOPOULOS
Active
Individual
MR. NICHOLAS PETER XENOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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