Provider Demographics
NPI:1619988060
Name:ANASTASIADOU, ALKMINI (MD)
Entity Type:Individual
Prefix:
First Name:ALKMINI
Middle Name:
Last Name:ANASTASIADOU
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 1:1066 WHITEGATE CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2160
Mailing Address - Country:US
Mailing Address - Phone:212-717-8000
Mailing Address - Fax:
Practice Address - Street 1:1066 WHITEGATE CT
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2160
Practice Address - Country:US
Practice Address - Phone:212-717-8000
Practice Address - Fax:212-717-1788
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1897691207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY112361Medicare ID - Type Unspecified
G22086Medicare UPIN