Individual
DR. STEVEN DEMETROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3099 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4308
(228) 872-2403
(228) 872-4027
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MS11472
MS
208D00000X
General Practice Physician
Primary
MS11472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014926
—
MS
05
—
00017926
—
MS
05
—
008906770
—
AL
01
—
385908YKC0
MEDICARE
MS
01
—
646000515
BLUE CROSS OF MS
—
01
—
930026706
RAILROAD MEDICARE
—
Enumeration date
01/12/2007
Last updated
05/02/2022
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