Provider Demographics
NPI:1609338417
Name:TJIONAS, PANAYIOTIS (MD)
Entity Type:Individual
Prefix:
First Name:PANAYIOTIS
Middle Name:
Last Name:TJIONAS
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 1:6431 FANNIN STREET
Mailing Address - Street 2:MSB 7.154 DEPARTMENT NEUROSURGERY/NEUROCRITICAL CARE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-0001
Mailing Address - Country:US
Mailing Address - Phone:201-982-1152
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN STREET
Practice Address - Street 2:MSB 7.154 DEPARTMENT NEUROSURGERY/NEUROCRITICAL CARE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-0001
Practice Address - Country:US
Practice Address - Phone:201-982-1152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program