Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A99848 | CA |
Y | 204F00000X | Transplant Surgeon | MD55588 | TN |
N | 208200000X | Surgeon | 219196 | MA |
N | 208600000X | Surgeon | 219196 | MA |
N | 208200000X | Surgeon | A99848 | CA |
N | 208600000X | Surgeon | A99848 | CA |
N | 208200000X | Surgeon | MD55588 | TN |
N | 208600000X | Surgeon | MD55588 | TN |
N | 2086S0127X | Trauma Surgeon | MD55588 | TN |
NPI | 1447367586 |
---|---|
Provider Name | Sophoclis P Alexopoulos |
First Address | Nashville, TN 37232-5100 |
Second Address | Nashville, TN 37232-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 21/10/2020 |