Individual
DR. DIMITRIOS PAPANAGNOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD450140
PA
390200000X
Student in an Organized Health Care Education/Training Program
390200000S
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391832
—
NJ
05
—
102888810
—
PA
Enumeration date
06/10/2008
Last updated
04/24/2014
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