Kallianos, John Andrew
Kallianos, John Andrew is an individual health care provider with primary practice located at 4309 Medical Park Dr Ste 200 , Durham NC 27704-2389. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kallianos, John Andrew can be contacted via phone (919) 471-4484.Contact Information
Primary practice address
4309 Medical Park Dr Ste 200
Durham NC 27704-2389
Phone: (919) 471-4484
Fax: (919) 477-6131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31730 | North Carolina |
Profile Details
| NPI number | 1245231588 |
|---|---|
| LBN Legal business name | Kallianos, John Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 3rd, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245231588 | NPPES |
| North Carolina | MEDICAID | 8947766 |
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