Individual
PETER BAMBAKIDIS
Active
Individual
PETER BAMBAKIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35058627B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246863
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
01
—
0501061
UNITED HEALTHCARE
—
05
—
0749284
—
OH
01
—
102920
KAISER
—
01
—
10788157
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
341783789093
CARESOURCE
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
4117752
AETNA
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
GROUP RR MEDICARE
—
01
—
D3683041
GROUP IND DIAGNOSTICS MED
—
01
—
F58622
SUMMACARE APEX
—
Enumeration date
02/23/2006
Last updated
05/27/2008
Update your record
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