Individual
DR. DEMETRIOS JAMES KAZAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3064
(757) 395-5300
(757) 395-5322
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101051280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
CHAMPUS/TRICARE
VA
05
—
006010326
—
VA
05
—
006016782
—
VA
01
—
054974
ANTHEM BCBS
VA
01
—
0604I
BCBS
NC
01
—
15792
SENTARA OHP/SHP
VA
01
—
250369
ATHEM BC/BS VA/HK
VA
01
—
263654
UHC/MAMSI/MDIPA
VA
01
—
35082
OPTIMA/SENTARA
VA
05
—
890604I
—
NC
01
—
PAR
VPH
VA
Enumeration date
02/21/2006
Last updated
03/17/2018
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