1245017656 NPI number — DR. EVANGELIA RAZIS MD PHD

Table of content: DR. EVANGELIA RAZIS MD PHD (NPI 1245017656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245017656 NPI number — DR. EVANGELIA RAZIS MD PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAZIS
Provider First Name:
EVANGELIA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAZI
Provider Other First Name:
EVANGELIA
Provider Other Middle Name:
DENNIS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1245017656
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4, HERODOTOU STREET
Provider Second Line Business Mailing Address:
CHALANDRI
Provider Business Mailing Address City Name:
ATHENS
Provider Business Mailing Address State Name:
ATTIKI
Provider Business Mailing Address Postal Code:
15231
Provider Business Mailing Address Country Code:
GR
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
362 KIFISSIAS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHALANDRI
Provider Business Practice Location Address State Name:
ATTIKI
Provider Business Practice Location Address Postal Code:
15233
Provider Business Practice Location Address Country Code:
GR
Provider Business Practice Location Address Telephone Number:
693-240-5390
Provider Business Practice Location Address Fax Number:
210-721-3027
Provider Enumeration Date:
09/11/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RX0202X , with the licence number:  197952 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)