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NPI Code Detail

MEDICARE: DR. SPYROS PANOS M.D.

MEDICARE: DR. SPYROS PANOS M.D.
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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician198547NY

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 : 1497753149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SPYROS PANOS M.D.
Provider Business Mailing Address
First Line : 100 15TH ST NW
Second Line :
City : NORTON
State : VA
Zip : 24273-1616
Country : US
Telephone Number : 276-679-5364
Fax Number :
Provider Business Practice Location Address
First Line : 100 15TH ST NW
Second Line :
City : NORTON
State : VA
Zip : 24273-1616
Country : US
Telephone Number : 276-679-5364
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/24/2011

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Directions to “ DR. SPYROS PANOS M.D.” Practice Location

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