Individual
CHARLES CHRISTOPHER KANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
21557
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215574
—
SC
01
—
P00801287
RR MEDICARE
SC
Enumeration date
06/15/2005
Last updated
02/20/2018
Update your record
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