Provider Demographics
NPI:1346541026
Name:CONTOPOULOS-IOANNIDIS, DESPINA G (MD)
Entity Type:Individual
Prefix:
First Name:DESPINA
Middle Name:G
Last Name:CONTOPOULOS-IOANNIDIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 OLMSTED RD
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-7702
Mailing Address - Country:US
Mailing Address - Phone:650-498-9454
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DRIVE; ROOM G312
Practice Address - Street 2:STANFORD UNIV SCH.MED; DEPT PEDIATRICS, DIV. INFECT.DIS
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305
Practice Address - Country:US
Practice Address - Phone:650-283-6132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1143702080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases