Theodorou, Kevin Philip
Theodorou, Kevin Philip is an sole proprietor health care provider with primary practice located at 10585 N Tatum Blvd D-137, Paradise Valley AZ 85253-1073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Theodorou, Kevin Philip can be contacted via phone (602) 277-2361.Contact Information
Primary practice address
10585 N Tatum Blvd D-137
Paradise Valley AZ 85253-1073
Phone: (602) 277-2361
Fax: (602) 713-9999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28436 | Arizona |
Profile Details
| NPI number | 1790898880 |
|---|---|
| LBN Legal business name | Theodorou, Kevin Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 14th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790898880 | NPPES |
| Arizona | MEDICAID | 639677 |
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