Provider Demographics
NPI:1033431846
Name:VAOU, ELENI OKEANIS (MD)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:OKEANIS
Last Name:VAOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OKEANIS
Other - Middle Name:E
Other - Last Name:VAOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8300 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3931
Mailing Address - Country:US
Mailing Address - Phone:210-450-9930
Mailing Address - Fax:210-450-6039
Practice Address - Street 1:8300 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3931
Practice Address - Country:US
Practice Address - Phone:210-450-9930
Practice Address - Fax:210-450-6039
Is Sole Proprietor?:No
Enumeration Date:2010-02-20
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT92692084N0400X, 2084S0012X
MA2435582084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110093806AMedicaid