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DEMOS AGIOMAVRITIS MD PC NPI 1093786725


NPI Information

NPI: 1093786725
Provider Name: DEMOS AGIOMAVRITIS MD PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
385 GROVE ST
SUITE 120
WORCESTER, MA
ZIP 01605
Phone: (508) 770-8002
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DEMOS AGIOMAVRITIS MD PC is an internal medicine in Worcester, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DEMOS AGIOMAVRITIS MD PC NPI is 1093786725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

385 GROVE ST
SUITE 120
WORCESTER, MA
ZIP 01605-924
Phone: (508) 770-8002
Fax: (508) 770-8006

The provider's authorized official is Demosthenes K Agiomavritis .
The authorized official title is Physician President and has the following contact phone number (508) 770-8002.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 8/22/2020.


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
1207R00000XInternal Medicine47165MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120787175OTHERTAX ID
2N01922OTHERBLUE CROSS INDIVIDUAL
39751530MEDICAIDMASSACHUSETTS
461250OTHERHARVARD PILGRIM
5999969OTHERNETWORK HEALTH
6M18983OTHERBCBS
726373OTHERFALLON
8701827OTHERTUFTS
99065240OTHERPRIVATE HEALTH CARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.