Provider Demographics
NPI:1235770876
Name:KONTOPOULOS, GEORGE VASILIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:VASILIOS
Last Name:KONTOPOULOS
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 1:8 AGISILAOU ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:NONE
Mailing Address - Zip Code:15123
Mailing Address - Country:GR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 AGISILAOU ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:NONE
Practice Address - Zip Code:15123
Practice Address - Country:GR
Practice Address - Phone:210-618-0680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255637207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty