Individual
STEVEN MICHAEL DANDALIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6260
Mailing address
2349 HAVERSHAM CLOSE, VIRGINIA BEACH, VA 23454-1154
(757) 553-2718
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101040588
VA
207RG0100X
Gastroenterology Physician
01086272A
IN
207RG0100X
Gastroenterology Physician
Primary
38598
NC
207RG0100X
Gastroenterology Physician
4301504154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010102995
—
VA
01
—
15842
SENTARA/OPTIMA
VA
01
—
159605
BCBS
VA
01
—
2128264
MAMSI/MDIPA
VA
05
—
890565M
—
NC
Enumeration date
12/14/2005
Last updated
08/09/2024
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