Individual
DR. BASIL E CHRYSSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1470 MEDICAL PKWY, SUITE 160, CARSON CITY, NV 89703-4648
(775) 445-7650
(775) 687-8457
Mailing address
PO BOX 4390, CARSON CITY, NV 89702-4390
(775) 882-0430
(775) 688-8031
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6678
NV
207RC0000X
Cardiovascular Disease Physician
A52334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EN467Z
MEDICARE PTAN FOR CTPC
NV
Enumeration date
08/18/2005
Last updated
09/18/2014
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