Theodoros Fotiou Katsivas, MD MAS AAHIVS
Internal Medicine, Infectious Disease in San Diego, CA. Individual provider (NPI-1).
NPI number1679526164
StatusActive
Last updated in NPPESOct 14, 2026
Details
- NPI
- 1679526164
- Entity type
- Individual (NPI-1)
- Name
- Prof. Theodoros Fotiou Katsivas
- Credential
- MD MAS AAHIVS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2006
- Certification date
- Oct 14, 2026
- Last updated
- Oct 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | A78543 | CA | Yes |
| 2083A0300X | Preventive Medicine, Addiction Medicine | A78543 | CA | |
| 207R00000X | Internal Medicine | A78543 | CA |
Other names
- Theodore Fotiou Katsivas (Other Name)
Practice location
405 W Robinson AveSan Diego, CA 92103-3942
Phone 619-379-8664 · Fax 619-927-8756
Mailing address
405 W Robinson AveSan Diego, CA 92103-3942
Phone 619-379-8664 · Fax 619-927-8756
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