Individual
GEORGE A KANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042512
CT
207RC0000X
Cardiovascular Disease Physician
Primary
M8751
TX
208M00000X
Hospitalist Physician
042512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425124
—
CT
05
—
196290401
—
TX
01
—
P00272897
RAILROAD MEDICARE
CT
01
—
P00653272
MEDICARE RR
TX
Enumeration date
02/07/2006
Last updated
09/22/2014
Update your record
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