Provider Demographics
NPI:1821331364
Name:SOTIRCHOS, ELIAS S (MD)
Entity Type:Individual
Prefix:
First Name:ELIAS
Middle Name:S
Last Name:SOTIRCHOS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:PATHOLOGY 627
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-614-1522
Mailing Address - Fax:410-502-6736
Practice Address - Street 1:1800 ORLEANS ST
Practice Address - Street 2:SHEIKH ZAYED TOWER, ROOM 6005
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0010
Practice Address - Country:US
Practice Address - Phone:410-955-6626
Practice Address - Fax:410-614-1008
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2020-05-15
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Provider Licenses
StateLicense IDTaxonomies
MDD828852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology