Individual
PAUL BASIL PAPADIMITRIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 JACOB ST STE 501, WHEELING, WV 26003-3800
(304) 234-8517
(304) 234-8745
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16790
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115621000
—
WV
05
—
0968252
—
OH
01
—
P00117943
RAILROAD MEDICARE
—
Enumeration date
08/16/2006
Last updated
04/06/2022
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