Individual
DR. ARISTIDES PAUL ASSIMACOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-8000
Mailing address
901 MCCLINTOCK DR STE 201, BURR RIDGE, IL 60527-0872
(630) 469-9200
(630) 654-1865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133426
IL
207RI0200X
Infectious Disease Physician
Primary
036-133426
IL
207RI0200X
Infectious Disease Physician
2023-00338
NC
207RI0200X
Infectious Disease Physician
45650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09739
BCBS
IA
05
—
150576001
—
AR
05
—
406083100
—
MN
01
—
55G66AS
BCBS
MN
05
—
667295
—
AZ
05
—
8005636
—
CA
01
—
P01180015
RAILROAD MEDICARE
AZ
Enumeration date
02/27/2006
Last updated
04/12/2023
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