Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2002016149 | MO |
NPI | 1003861477 |
---|---|
Provider Name | Christos N Papageorgiou |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 28/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I46029 | (02) | |
P00466152 | (02) | MO |