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1760526917

NPI Code Detail

MEDICARE: DR. ANGELOS KATRAMADOS MD

MEDICARE: DR. ANGELOS KATRAMADOS 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	2084V0102X	Vascular Neurology Physician	4301079511	MI
2	2084N0400X	Neurology Physician	5315028422	MI

General Provider Information

NPI Number	:	1760526917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELOS KATRAMADOS MD

Provider Business Mailing Address
First Line	:	2799 W GRAND BLVD
Second Line	:	DEPARTMENT OF NEUROLOGY K-11
City	:	DETROIT
State	:	MI
Zip	:	48202-2608
Country	:	US
Telephone Number	:	313-916-9107
Fax Number	:	313-916-8068

Provider Business Practice Location Address
First Line	:	2799 W GRAND BLVD
Second Line	:	DEPARTMENT OF NEUROLOGY K-11
City	:	DETROIT
State	:	MI
Zip	:	48202-2608
Country	:	US
Telephone Number	:	313-916-9107
Fax Number	:	313-916-8068

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	11/07/2018

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Directions to “ DR. ANGELOS KATRAMADOS 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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