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Individual

DR. AKILIS MIKE THEOHARIDIS

Active
Find providers by NPI
Individual

DR. AKILIS MIKE THEOHARIDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000747
MO
213ES0131X
Foot Surgery Podiatrist
Primary
000747
MO
213ES0131X
Foot Surgery Podiatrist
12-00294
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23501026
BLUE KC
05
308471408
MO
05
308471432
MO
01
480031697
RAILROAD GLADSTONE
01
480031700
RAILROAD AHN
Enumeration date
06/24/2006
Last updated
12/23/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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