Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD422294 | PA |
Y | 207RI0011X | Interventional Cardiology | 26071 | NE |
NPI | 1083623706 |
---|---|
Provider Name | Dr. Panayotis-Alain Efstratiou |
First Address | Lincoln, NE 68503-3610 |
Second Address | Kearney, NE 68847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 14/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
074299JYY | (02) | PA |
10026072500 | (05) | NE |
2271470000 | KEYSTONE (01) | PA |
3149750 | CIGNA (01) | PA |
47080450613 | (05) | NE |
5811121 | AETNA (01) | PA |
P00201509 | TRAVELERS MEDICARE (01) | PA |
P3059225 | OXFORD (01) | PA |