Provider Demographics
NPI:1487858015
Name:PAPARSENOS, ACHILLES THEODORE (MD)
Entity Type:Individual
Prefix:
First Name:ACHILLES
Middle Name:THEODORE
Last Name:PAPARSENOS
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 1:301 OXFORD VALLEY ROAD
Mailing Address - Street 2:SUITE 1803A
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7725
Mailing Address - Country:US
Mailing Address - Phone:215-754-5050
Mailing Address - Fax:215-754-5041
Practice Address - Street 1:301 OXFORD VALLEY ROAD
Practice Address - Street 2:SUITE 1803A
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7725
Practice Address - Country:US
Practice Address - Phone:215-754-5050
Practice Address - Fax:215-754-5041
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430753207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1993530OtherPA BLUE SHIELD
PA1022172990001Medicaid
PA48627000OtherKEYSTONE
PA1993530OtherPA BLUE SHIELD
PA120844ZR6XMedicare PIN