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General NPI Number Information
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NPI Number | 1518065317
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Entity Type | Individual
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Provider Name | FOTINI MARIA CHALKIAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 2608 BROCKTON DR
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City | AUSTIN
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State | TX
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Zip | 78758-4414
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Country | US
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Telephone | 512-654-4050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-944-0371
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Fax | 254-215-9722
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | M5092
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M5092
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License Number State | TX
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