Michael H Theodoulou in Washington - Prosthetic/orthotic Supplier

Michael H Theodoulou - NPI 1780859892

Michael H Theodoulou is a Prosthetic/orthotic Supplier in Washington, District Of Columbia. Michael H Theodoulou practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Michael H Theodoulou is 1780859892. The last update date is 2008-04-29.

Michael H Theodoulou's current location address is 3301 New Mexico Ave Nw, Washington, District Of Columbia. You can contact this provider via phone number 2022370038 and fax number 2022372551. The mailing address for Michael H Theodoulou is 3301 New Mexico Ave Nw, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michael H Theodoulou
Address 3301 New Mexico Ave Nw, Washington, District Of Columbia
Phone Number 2022370038
Fax Number 2022372551
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Theodoulou H Michael
Credentials DPM
Telephone Number 2022370038

NPI Number Detail

NPI Number 1780859892
Provider Enumeration Date 2008-04-29
Last Updated Date 2008-04-29

Provider Mailing Address Detail

Address 3301 New Mexico Ave Nw
City Washington
State District Of Columbia (DC)
Post Code 200163622
Phone Number 2022370038
Fax Number 2022372551

Provider's Primary Taxonomy Detail

Speciality Prosthetic/orthotic Supplier
Taxonomy 335E00000X
Licence No P0558
Definition:
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20331900 MD --

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FAQs about Michael H Theodoulou

What is the Michael H Theodoulou's unique identification number?

The Michael H Theodoulou has been assigned the NPI (National Provider Identifier) Number 1780859892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Michael H Theodoulou is physically located?

The Michael H Theodoulou is physically situated at the following address: 3301 New Mexico Ave Nw, Washington, DC, 200163622.

What is Michael H Theodoulou's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael H Theodoulou is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780859892 to Michael H Theodoulou?

The Michael H Theodoulou received its 1780859892 assignment from the Centers for Medicare & Medicaid Services on 2008-04-29.

When was the information related to Michael H Theodoulou most recently updated or refreshed?

The details pertaining to the Michael H Theodoulou, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-29.

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