Provider Demographics
NPI:1992026264
Name:GRAMMATIKOPOULOU, ELENI (MD)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:GRAMMATIKOPOULOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:M/S 4004
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2937
Mailing Address - Country:US
Mailing Address - Phone:913-588-6917
Mailing Address - Fax:913-588-6280
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:M/S 4004
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-6917
Practice Address - Fax:913-588-6280
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-07494208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics