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1447249198

NPI Code Detail

MEDICARE: EVANGELOS NICHOLAS PALLIS MD

MEDICARE: EVANGELOS NICHOLAS PALLIS 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
1	208M00000X	Hospitalist Physician	201855	NY
2	207R00000X	Internal Medicine Physician	MD-52098	IA
3	208M00000X	Hospitalist Physician	MD-52098	IA
4	207R00000X	Internal Medicine Physician	201855	NY
5	207R00000X	Internal Medicine Physician	MD2025-1317	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00266412	OTHER	NY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447249198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVANGELOS NICHOLAS PALLIS MD

Provider Business Mailing Address
First Line	:	27 LINCOLN AVE
Second Line	:
City	:	SOUTH GLENS FALLS
State	:	NY
Zip	:	12803-5719
Country	:	US
Telephone Number	:	518-932-3522
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E MARKET ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2633
Country	:	US
Telephone Number	:	319-339-3551
Fax Number	:

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	01/20/2026

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Directions to “ EVANGELOS NICHOLAS PALLIS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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