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NPI Code Detail

MEDICARE: DR. JOHN P KATSAROPOULOS MD

MEDICARE: DR. JOHN P KATSAROPOULOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician01041586AIN
2207RI0011XInterventional Cardiology Physician01045186AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063419968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN P KATSAROPOULOS MD
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number :
Provider Business Practice Location Address
First Line : 5330 E STOP 11 RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-6345
Country : US
Telephone Number : 317-893-1900
Fax Number : 317-893-1901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/05/2024

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Directions to “ DR. JOHN P KATSAROPOULOS MD” Practice Location

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