Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 41016 | CO |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 41016 | CO |
NPI | 1124031125 |
---|---|
Provider Name | Armodios Militias Hatzidakis |
First Address | Denver, CO 80218-1128 |
Second Address | Denver, CO 80218-1128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 11/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200421240B | (05) | KS |
54387876 | (05) | CO |
H52985 | (02) | |
P00038883 | RR MEDICARE PIN (01) | CO |
P00399278 | RR MEDICARE PIN (01) | KS |