Provider Demographics
NPI:1497826564
Name:KARADIMAS, CHRISTOS GEORGE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOS
Middle Name:GEORGE
Last Name:KARADIMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8865 BRECKSVILLE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1931
Mailing Address - Country:US
Mailing Address - Phone:440-546-1212
Mailing Address - Fax:440-546-1213
Practice Address - Street 1:8865 BRECKSVILLE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1931
Practice Address - Country:US
Practice Address - Phone:440-546-1212
Practice Address - Fax:440-546-1213
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH942111N00000X
GA1864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKA0527362Medicare ID - Type Unspecified
OHT47781Medicare UPIN