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NPI Code Detail

MEDICARE: DR. DIMITRI GOLFINOPOULOS D.O.

MEDICARE:  DR. DIMITRI  GOLFINOPOULOS  D.O.
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
1207R00000XInternal Medicine Physician100796MO
2207R00000XInternal Medicine Physician05-28058KS

General Provider Information

NPI Number : 1558380576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIMITRI GOLFINOPOULOS D.O.
Provider Business Mailing Address
First Line : 400 E RED BRIDGE RD STE 207
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-4030
Country : US
Telephone Number : 913-681-2398
Fax Number : 913-681-2416
Provider Business Practice Location Address
First Line : 400 E RED BRIDGE RD STE 207
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-4030
Country : US
Telephone Number : 913-681-2398
Fax Number : 913-681-2416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/18/2022

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Directions to “ DR. DIMITRI GOLFINOPOULOS D.O.” Practice Location

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