Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 21850 | NE |
Y | 208800000X | Urologist | ME137408 | FL |
NPI | 1043299985 |
---|---|
Provider Name | Paulos Yohannes |
First Address | Naples, FL 34109-0493 |
Second Address | Naples, FL 34109-0493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 07/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100552400 | (05) | FL |
H46531 | (02) | |
JM084 | MEDICARE (01) | FL |
V57EM | BCBS (01) | FL |