Provider Demographics
NPI:1972746154
Name:KARAGEORGIOU, ELISSAIOS (MD)
Entity Type:Individual
Prefix:
First Name:ELISSAIOS
Middle Name:
Last Name:KARAGEORGIOU
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 1:675 NELSON RISING LN
Mailing Address - Street 2:MEMORY AND AGING CENTER MC: 1207, SUITE 190
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-0003
Mailing Address - Country:US
Mailing Address - Phone:415-476-5591
Mailing Address - Fax:415-476-5573
Practice Address - Street 1:675 NELSON RISING LN
Practice Address - Street 2:MEMORY AND AGING CENTER MC: 1207, SUITE 190
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-0003
Practice Address - Country:US
Practice Address - Phone:415-476-5591
Practice Address - Fax:415-476-5573
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1259122084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology