Active NPIIndividual provider

Konstantino A Avradopoulos, MD

Surgery in Southbridge, Massachusetts

NPI Number1154390995
Practice location
94 South St, Southbridge, MA 01550-4000
Fax
508-764-2457
Last updated
April 11, 2012

Konstantino A Avradopoulos is a Surgery based in Southbridge, MA. Konstantino A Avradopoulos practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Konstantino A Avradopoulos is 1154390995 and holds a License No. 204941 (MA). The current practice location address for Konstantino A Avradopoulos is 94 South St, Southbridge, MA 01550-4000 and can be reached out via phone at 508-764-6966 and via fax at 508-764-2457.

Provider Profile Details

NPI Number
1154390995
Provider Name
Konstantino A Avradopoulos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
94 South St, Southbridge, MA 01550-4000
Phone Number
508-764-6966
Fax Number
508-764-2457
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
March 15, 2006
Last Update Date
April 11, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 South St
Southbridge, MA 01550-4000
Zip
01550-4000
Phone Number
508-764-6966
Fax Number
508-764-2457
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
94 South St
Southbridge, MA 01550-4000
City
Southbridge
State
MA
Zip
01550-4000
Phone Number
508-764-6966
Fax Number
508-764-2457

License Information

License Number
204941
License State
MA
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Konstantino A Avradopoulos, MD?

The NPI number of Konstantino A Avradopoulos, MD is 1154390995. It was assigned on March 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Konstantino A Avradopoulos, MD?

Konstantino A Avradopoulos, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 204941.

Where does Konstantino A Avradopoulos, MD practice?

The practice location is 94 South St, Southbridge, MA 01550-4000. The office can be reached at 508-764-6966 (phone) or 508-764-2457 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154390995 directly on the NPPES registry website.

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