Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 40168 | CO |
NPI | 1316045701 |
---|---|
Provider Name | Dr. Aristides K Maniatis |
First Address | Centennial, CO 80112-2340 |
Second Address | Centennial, CO 80112-2340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 09/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38354349 | (05) | CO |