Stephanopoulos, Dimitrious E

Stephanopoulos, Dimitrious E is an individual health care provider with primary practice located at 929 N Saint Francis St , Wichita KS 67214-3821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Stephanopoulos, Dimitrious E can be contacted via phone (316) 268-5794.

Contact Information

Primary practice address
929 N Saint Francis St Wichita KS 67214-3821
Fax: (316) 291-7921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0429527 Kansas

Profile Details

NPI number 1972508042
LBN Legal business name Stephanopoulos, Dimitrious E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 10th, 2012 - about 13 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 1972508042 NPPES
Kansas MEDICAID 100412330A

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