Healthcare Provider Details

I. General information

NPI: 1437249778
Provider Name (Legal Business Name): EKATERINI TSIAPALI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CAMPUS DR UNIT 121
SCARBOROUGH ME
04074-7172
US

IV. Provider business mailing address

100 CAMPUS DR UNIT 121
SCARBOROUGH ME
04074-7172
US

V. Phone/Fax

Practice location:
  • Phone: 207-396-7788
  • Fax: 207-396-8500
Mailing address:
  • Phone: 207-396-7788
  • Fax: 207-396-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD041873
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberD0076808
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD29470
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: