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NPI Code Detail

MEDICARE: DR. NICHOLAS KARYOTAKIS MD

MEDICARE: DR. NICHOLAS KARYOTAKIS 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
1207RG0100XGastroenterology PhysicianA 61044CA

General Provider Information

NPI Number : 1922072826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS KARYOTAKIS MD
Provider Business Mailing Address
First Line : 9589 STUART LANE
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK EAST
Second Line : #1206
City : LOS ANGELES
State : CA
Zip : 90067
Country : US
Telephone Number : 310-282-0525
Fax Number : 310-201-0662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 07/08/2007

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