Provider Demographics
NPI:1851310718
Name:APOSTOLOU, DIMITRIOS (MD)
Entity Type:Individual
Prefix:
First Name:DIMITRIOS
Middle Name:
Last Name:APOSTOLOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44555 WOODWARD AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5031
Mailing Address - Country:US
Mailing Address - Phone:248-858-3939
Mailing Address - Fax:248-858-3844
Practice Address - Street 1:44555 WOODWARD AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5031
Practice Address - Country:US
Practice Address - Phone:248-858-3939
Practice Address - Fax:248-858-3844
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055615208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1639297054OtherGROUP NPI NUMBER
MI4180284Medicaid
MI4180284Medicaid
G48913Medicare UPIN