Individual
PANAGIOTIS THEODORE DOUKIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4027 N HOLLAND SYLVANIA RD, TOLEDO, OH 43623-2592
(419) 824-9993
(419) 824-9962
Mailing address
4027 NORTH HOLLAND-SYLVANIA ROAD, TOLEDO,, OH 43623-2592
(419) 824-9993
(419) 824-9962
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35 047029
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499401
—
OH
01
—
0518524
MEDICARE ID UNSPECIFIED
OH
Enumeration date
08/30/2006
Last updated
03/14/2008
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