Provider Demographics
NPI:1639126105
Name:KYPRIANOU, ANDREAS C (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:C
Last Name:KYPRIANOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDREAS
Other - Middle Name:
Other - Last Name:KYPRIANOU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5151 E BROADWAY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1346
Mailing Address - Country:US
Mailing Address - Phone:602-258-4951
Mailing Address - Fax:602-254-6840
Practice Address - Street 1:1345 W BAY DR STE 2-5
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2282
Practice Address - Country:US
Practice Address - Phone:727-441-4526
Practice Address - Fax:727-266-4590
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2896207RP1001X
AZ32610207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ82074OtherMEDICARE
AZ875891Medicaid
AZI10755Medicare UPIN
AZ875891Medicaid