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Individual

KYRIAKIE SARAFOGLOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47368
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0090117
MT
05
0595991
IA
01
1042751
PREFERRED ONE
MN
01
132492
UCARE
MN
01
2280062
ARAZ
MN
01
33-00009
MEDICA PRIMARY
MN
01
33-00191
MEDICA CHOICE
MN
05
662632700
MN
01
HP48314
HEALTH PARTNERS
MN
Enumeration date
10/20/2006
Last updated
07/08/2007
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