Kandis, Ann Fotiadis

Kandis, Ann Fotiadis is an individual health care provider with primary practice located at 106 19Th Ave Ste 103 , Moline IL 61265-3700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kandis, Ann Fotiadis can be contacted via phone (309) 779-7050.

Contact Information

Primary practice address
106 19Th Ave Ste 103 Moline IL 61265-3700
Phone: (309) 779-7050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28332 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.126806 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.126806 Illinois

Profile Details

NPI number 1275566317
LBN Legal business name Kandis, Ann Fotiadis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Feb 2nd, 2024 - about 2 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 1275566317 NPPES
Iowa MEDICAID 8065904
Iowa MEDICAID 1065904

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