Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-38100 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | 38100 | IA |
NPI | 1760623144 |
---|---|
Provider Name | Dr. Christos Michael Kassiotis |
First Address | Des Moines, IA 50306-9170 |
Second Address | Des Moines, IA 50314-3017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2009 |
Last Update Date | 14/06/2020 |