Provider Demographics
NPI:1083623706
Name:EFSTRATIOU, PANAYOTIS-ALAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:PANAYOTIS-ALAIN
Middle Name:
Last Name:EFSTRATIOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 Q ST STE 500
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3610
Mailing Address - Country:US
Mailing Address - Phone:402-328-4572
Mailing Address - Fax:402-421-0946
Practice Address - Street 1:3219 CENTRAL AVE STE 201
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847
Practice Address - Country:US
Practice Address - Phone:308-865-7271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422294207RC0000X
KS04-35532207RI0011X
NE26071207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5811121OtherAETNA
NE47080450613Medicaid
PA3149750OtherCIGNA
PAP00201509OtherTRAVELERS MEDICARE
NE10026072500Medicaid
PAP3059225OtherOXFORD
PA2271470000OtherKEYSTONE
PAP00201509OtherTRAVELERS MEDICARE
PA074299JYYMedicare UPIN
PA2271470000OtherKEYSTONE