Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD447758 | PA |
N | 207P00000X | Emergency Physician | MT196913 | PA |
NPI | 1013235514 |
---|---|
Provider Name | Nicholaos Kalathas |
First Address | Chambersburg, PA 17201-2751 |
Second Address | Chambersburg, PA 17201-1720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2010 |
Last Update Date | 13/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102810325 0001 | (05) | PA |
102810325 0002 | (05) | PA |
1622617 | GATEWAY (01) | PA |
2879187 | HIGHMARK BLUE SHIELD (01) | PA |
30152910 | AMERIHEALTH CARITAS PA - YH (01) | PA |
788489 | UPMC (01) | PA |