Individual
DR. PANAYOTIS IGNATIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 1ST AVE, OPC SUITE 10, HUNTINGTON, WV 25702-0107
(304) 525-6825
(304) 525-0300
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 399-4405
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12268
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287965
OH UNISON
OH
05
—
0089539000
—
WV
05
—
0442819
—
OH
01
—
0790289
CIGNA
WV
01
—
613918805
BLACK LUNG/FECA
WV
05
—
64694177
—
KY
Enumeration date
10/03/2006
Last updated
05/19/2022
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