Individual
ANDREAS MYKONIATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1719 E 19TH AVE, IM HOSPITALIST, DENVER, CO 80218-1235
(720) 754-2296
(844) 669-1725
Mailing address
5600 S QUEBEC STREET, SUITE 312A, GREENWOOD VILLIAGE, CO 80111-2208
(720) 754-2296
(844) 669-1725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119322
IL
207R00000X
Internal Medicine Physician
DR.0056350
CO
208M00000X
Hospitalist Physician
036119322
IL
208M00000X
Hospitalist Physician
Primary
56350
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58685057
—
CO
01
—
F400291996
MEDICARE PTAN
—
Enumeration date
05/25/2007
Last updated
06/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us