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Individual

DR. PETER THOMAS ANASTASSIOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 WEBSTER ST, STE 200, SAN FRANCISCO, CA 94115-2373
(415) 600-7860
(415) 600-7865
Mailing address
2100 WEBSTER ST, SUITE 200, SAN FRANCISCO, CA 94115-2373
(415) 600-7860
(415) 600-7865

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A43203
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A43203
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A432030
BLUE SHIELD OF CALIFORNIA
CA
05
00A432030
CA
01
P00014566
RAILROAD MEDICARE
CA
Enumeration date
07/07/2005
Last updated
06/10/2015
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