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Individual

KLEANTHIS THEODOROPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. , PHD

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4600
(212) 305-7439
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4600
(212) 305-7439

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
296675
NY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
296675
NY
208M00000X
Hospitalist Physician
296675
NY

Other

Enumeration date
07/15/2014
Last updated
05/20/2022
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