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NPI Code Detail

MEDICARE: DR. VASILIOS SIERROS M.D.

MEDICARE: DR. VASILIOS SIERROS 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
1207RP1001XPulmonary Disease Physician00230186NY
2207RP1001XPulmonary Disease PhysicianME146815FL

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 : 1043220254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VASILIOS SIERROS M.D.
Provider Business Mailing Address
First Line : 8726 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33615-1714
Country : US
Telephone Number : 813-712-1726
Fax Number : 813-925-4640
Provider Business Practice Location Address
First Line : 8726 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33615-1714
Country : US
Telephone Number : 813-712-1726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 12/22/2020

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