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NPI Code Detail

MEDICARE: DR. JOHN SARANTOPOULOS M.D.

MEDICARE: DR. JOHN SARANTOPOULOS 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
1207RX0202XMedical Oncology PhysicianL8940TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1168379903OTHERTXCSHCN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38BK642OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1861495343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN SARANTOPOULOS M.D.
Provider Business Mailing Address
First Line : 7703 FLOYD CURL DR
Second Line : MC 7977
City : SAN ANTONIO
State : TX
Zip : 78229-3901
Country : US
Telephone Number : 210-257-1400
Fax Number : 210-257-1428
Provider Business Practice Location Address
First Line : 7979 WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4427
Country : US
Telephone Number : 210-450-1000
Fax Number : 210-450-1150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 08/18/2010

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Directions to “ DR. JOHN SARANTOPOULOS M.D.” Practice Location

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