Individual provider · NPI-1

Petros Vassilios Anagnostopoulos, MD

Surgery, Pediatric Surgery · Madison, WI

NPI number1801868336

StatusActive

Last updated in NPPESJan 5, 2021

Details

NPI: 1801868336
Entity type: Individual (NPI-1)
Name: Petros Vassilios Anagnostopoulos
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Feb 7, 2006
Certification date: Jan 5, 2021
Last updated: Jan 5, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2086S0120X	Surgery, Pediatric Surgery	56065	WI	Yes
207RA0002X	Internal Medicine, Adult Congenital Heart Disease	56065	WI
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	56065	WI

Practice location

600 Highland Ave
Madison, WI 53792-0001

Phone 608-263-1530 · Fax 608-265-8887

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

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