Avradopoulos, Konstantino A

Avradopoulos, Konstantino A is an individual health care provider with primary practice located at 94 South St , Southbridge MA 01550-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Avradopoulos, Konstantino A can be contacted via phone (508) 764-6966.

Contact Information

Primary practice address
94 South St Southbridge MA 01550-4000
Phone: (508) 764-6966
Fax: (508) 764-2457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 204941 Massachusetts

Profile Details

NPI number 1154390995
LBN Legal business name Avradopoulos, Konstantino A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Apr 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154390995 NPPES
Other 8052669 CIGNA HEALTH PLAN
Other 042472266 CIGNA HEALTH PLAN
Other 3700043 CIGNA HEALTH PLAN
Other 45955 CIGNA HEALTH PLAN
Other AA8132 CIGNA HEALTH PLAN
Other J22103 CIGNA HEALTH PLAN
Other 3207048 CIGNA HEALTH PLAN
Other 935195 CIGNA HEALTH PLAN
Other 042472266 CIGNA HEALTH PLAN
Other 042472266 CIGNA HEALTH PLAN
MEDICAID 3207048 CIGNA HEALTH PLAN
Other 45865 CIGNA HEALTH PLAN
Other 5605292 CIGNA HEALTH PLAN
Other A30735 CIGNA HEALTH PLAN
Other 3207048 CIGNA HEALTH PLAN
Other 783988 CIGNA HEALTH PLAN
Other J22103 CIGNA HEALTH PLAN
Other J22103 CIGNA HEALTH PLAN

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