1982411781 NPI number — DR. HARALAMPOS ZISIS CHRISTODOULOPOULOS PHARMD

Table of content: DR. HARALAMPOS ZISIS CHRISTODOULOPOULOS PHARMD (NPI 1982411781)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982411781 NPI number — DR. HARALAMPOS ZISIS CHRISTODOULOPOULOS PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHRISTODOULOPOULOS
Provider First Name:
HARALAMPOS
Provider Middle Name:
ZISIS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHRISTODOULOPOULOS
Provider Other First Name:
BOBBY
Provider Other Middle Name:
ZISIS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1982411781
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1170 WELCH RD APT 711
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALO ALTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94304-1914
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-385-8197
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 WELCH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALO ALTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94304-1601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-385-8197
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2024

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: 183500000X , with the licence number:  90535 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com