Dr. Basil E Kapetanakis, M.D.
Student in an Organized Health Care Education/Training Program in Phoenix, AZ. Individual provider (NPI-1).
NPI number1760618045
StatusActive
Last updated in NPPESMay 6, 2010
Details
- NPI
- 1760618045
- Entity type
- Individual (NPI-1)
- Name
- Dr. Basil E Kapetanakis
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2009
- Last updated
- May 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | AZ | Yes |
Practice location
5779 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
Mailing address
5779 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
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