Katsivas, Theodoros Fotiou

Katsivas, Theodoros Fotiou is an sole proprietor health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Katsivas, Theodoros Fotiou can be contacted via phone (619) 543-3995.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (619) 543-3995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A78543 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A78543 California

Profile Details

NPI number 1679526164
LBN Legal business name Katsivas, Theodoros Fotiou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Sep 27th, 2017 - about 9 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 1679526164 NPPES
California MEDICAID 00A785430

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