Provider Demographics
NPI:1609068022
Name:YEROPOLI, SEVASTI K (MD)
Entity Type:Individual
Prefix:
First Name:SEVASTI
Middle Name:K
Last Name:YEROPOLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SEVASTI
Other - Middle Name:K
Other - Last Name:ANAGNOSTOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 PARK WEST BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320
Mailing Address - Country:US
Mailing Address - Phone:330-869-9777
Mailing Address - Fax:330-865-6011
Practice Address - Street 1:1 PARK WEST BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320
Practice Address - Country:US
Practice Address - Phone:330-869-9777
Practice Address - Fax:330-865-6011
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.094589207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH35.094589OtherSTATE MEDICAL LICENSE