Provider Demographics
NPI:1659354462
Name:ALEXOPOULOS, ANDREAS V (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:V
Last Name:ALEXOPOULOS
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:3161 MEADOWBROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2803
Mailing Address - Country:US
Mailing Address - Phone:216-235-5078
Mailing Address - Fax:413-473-1279
Practice Address - Street 1:CLEVELAND CLINIC FOUNDATION, 9500 EUCLID AVENUE
Practice Address - Street 2:DESK S-51, SECTION OF ADULT EPILEPSY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-3629
Practice Address - Fax:216-445-4378
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2011-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.0847862084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4150881Medicaid
OH4150881Medicaid