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POLYXENE GAZETAS KOKINOS MDPC NPI 1831687672


NPI Information

NPI: 1831687672
Provider Name: POLYXENE GAZETAS KOKINOS MD,PC

Doing Business As: SOUTH BAY VASCULAR CENTER AND VEIN INSTITUTE

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2255 S BASCOM AVE STE 200
CAMPBELL, CA
ZIP 95008
Phone: (408) 376-3626
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POLYXENE GAZETAS KOKINOS MD,PC is a vascular surgery surgery in Campbell, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. POLYXENE GAZETAS KOKINOS MD,PC NPI is 1831687672. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Bay Vascular Center And Vein Institute.

The provider's business location address is:

2255 S BASCOM AVE STE 200
CAMPBELL, CA
ZIP 95008-800
Phone: (408) 376-3626

The provider's authorized official is Polyxene Kokinos .
The authorized official title is Owner and has the following contact phone number (408) 218-6482.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 6/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyNo
22086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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