MEDICARE: JOHN JORDAN KARVOUNIDES DO

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1316441892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JORDAN KARVOUNIDES DO

Provider Business Mailing Address
First Line	:	4075 MONROEVILLE BLVD STE 330
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4075 MONROEVILLE BLVD STE 330
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2529
Country	:	US
Telephone Number	:	412-372-6262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	09/06/2022

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