Sofianos, Dmitri

Sofianos, Dmitri is an sole proprietor health care provider with primary practice located at 4425 Paulsen St , Savannah GA 31405-3662. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sofianos, Dmitri can be contacted via phone (912) 355-6615.

Contact Information

Primary practice address
4425 Paulsen St Savannah GA 31405-3662
Phone: (912) 355-6615
Fax: (912) 351-0645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A124067 California

Profile Details

NPI number 1013155092
LBN Legal business name Sofianos, Dmitri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2009
Last updated Mar 7th, 2023 - about 3 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 1013155092 NPPES
California MEDICAID 1013155092

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