Individual
PANAGIOTIS T VLAGOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 OBERY STREET, SUITE 1A, PLYMOUTH, MA 02360-2229
(508) 747-4883
(508) 747-6661
Mailing address
47 OBERY STREET, SUITE 1A, PLYMOUTH, MA 02360-2229
(508) 747-4883
(508) 747-6661
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
207726
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060710
—
MA
01
—
3972881
AETNA
—
01
—
467109
TUFTS HEALTH PLAN
MA
01
—
491407
US FAMILY HEALTH-PCP
MA
01
—
9827981
CIGNA
—
01
—
AA11759
HARVARD PILGRIM HEALTH
MA
01
—
J28219
BLUE SHIELD NUMBER
MA
01
—
P00262951
RAILROAD MEDICARE
MA
Enumeration date
04/18/2006
Last updated
06/13/2024
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