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NPI Code Detail

MEDICARE: DR. STEVEN DEMETROPOULOS MD

MEDICARE:  DR. STEVEN  DEMETROPOULOS  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
1207P00000XEmergency Medicine PhysicianMS11472MS
2208D00000XGeneral Practice PhysicianMS11472MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3930026706OTHERRAILROAD MEDICARE
6385908YKC0OTHERMSMEDICARE

Other Identifiers

General Provider Information

NPI Number : 1932259546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN DEMETROPOULOS MD
Provider Business Mailing Address
First Line : 2101 HIGHWAY 90
Second Line :
City : GAUTIER
State : MS
Zip : 39553-5340
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3099 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-4308
Country : US
Telephone Number : 228-872-2403
Fax Number : 228-872-4027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 05/02/2022

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Directions to “ DR. STEVEN DEMETROPOULOS MD” Practice Location

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