Doctor Name: | DR. SERAFIM PERDIKIS |
NPI Number: | 1780786822 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 241581 |
Business Practice Address: | 3851 Roger Brooke Dr Department Of Orthopedics And Rehabilitation Fort Sam Houston, TX - 782346200 |
Business Phone Number: | 2109163856 |
Business Fax Number: | 2109167323 |
Mailing Address: | 3851 Roger Brooke Dr, Department Of Medicine FORT SAM HOUSTON |
State: | TX |
Postal Code: | 782346200 |
Phone Number: | 2109163856 |
Fax Number: | 2109164721 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 06/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 241581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |