Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 15063 | NH |
NPI | 1023201563 |
---|---|
Provider Name | Alexandros N. Karavas |
First Address | Albany, NY 12208-1742 |
Second Address | Albany, NY 12208-1742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2007 |
Last Update Date | 28/03/2013 |