Provider Demographics
NPI:1720212228
Name:TSAGARIS, KATINA CHRISTINA (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:KATINA
Middle Name:CHRISTINA
Last Name:TSAGARIS
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DEPT OF RHEUMATOLOGY 247 WHITEHEAD
Mailing Address - Street 2:615 MICHAEL STREET
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-712-2945
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF RHEUMATOLOGY 247 WHITEHEAD
Practice Address - Street 2:615 MICHAEL STREET
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-712-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DCDO034373207R00000X
GA074122207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine