Provider Demographics
NPI:1942217914
Name:BELITSOS, JAMES GEORGE (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GEORGE
Last Name:BELITSOS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1701 W SAINT MARYS RD
Mailing Address - Street 2:SUITE #106
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2621
Mailing Address - Country:US
Mailing Address - Phone:520-792-1348
Mailing Address - Fax:520-620-0603
Practice Address - Street 1:1701 W SAINT MARYS RD
Practice Address - Street 2:SUITE #106
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2621
Practice Address - Country:US
Practice Address - Phone:520-792-1348
Practice Address - Fax:520-620-0603
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E38589Medicare UPIN