Provider Demographics
NPI:1821314030
Name:ANAGNOSTOU, VALSAMO (MD-PHD)
Entity Type:Individual
Prefix:
First Name:VALSAMO
Middle Name:
Last Name:ANAGNOSTOU
Suffix:
Gender:F
Credentials:MD-PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 S WOLFE STREET
Mailing Address - Street 2:APT 538
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231
Mailing Address - Country:US
Mailing Address - Phone:203-444-3456
Mailing Address - Fax:
Practice Address - Street 1:1650 ORLEANS STREET
Practice Address - Street 2:CRB 186
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231
Practice Address - Country:US
Practice Address - Phone:410-955-8893
Practice Address - Fax:410-955-8587
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD76717207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology