Provider Demographics
NPI:1013250554
Name:PAPAYANNIS, IOANNIS (MD)
Entity type:Individual
Prefix:DR
First Name:IOANNIS
Middle Name:
Last Name:PAPAYANNIS
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:PO BOX 33932
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71130-3932
Mailing Address - Country:US
Mailing Address - Phone:318-675-5982
Mailing Address - Fax:318-675-5957
Practice Address - Street 1:4800 S HAZEL ST
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6860
Practice Address - Country:US
Practice Address - Phone:870-534-5533
Practice Address - Fax:870-534-5535
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA320796207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology