Provider Demographics
NPI:1457761124
Name:ARVANITIS, MARIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIOS
Middle Name:
Last Name:ARVANITIS
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 1:600 NORTH WOLFE STREET
Mailing Address - Street 2:HALSTED 500
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-955-5999
Mailing Address - Fax:410-367-2406
Practice Address - Street 1:600 NORTH WOLFE STREET
Practice Address - Street 2:HALSTED 500
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-5999
Practice Address - Fax:410-367-2406
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0085335207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine