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DIMITRIS P AGAMANOLIS M.D. NPI 1134157282


NPI Information

NPI: 1134157282
Provider Name: DIMITRIS P AGAMANOLIS, M.D.
Classification: Pathology - 207ZP0213X
Entity Type: Individual

Specialization: Pediatric Pathology

Address:
1 PERKINS SQ
AKRON, OH
ZIP 44308
Phone: (330) 543-8572
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Dimitris P Agamanolis, M.D. is a pediatric pathology pathology in Akron, OH. The provider is a pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. Dimitris P Agamanolis, M.D. NPI is 1134157282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 PERKINS SQ
AKRON, OH
ZIP 44308-063
Phone: (330) 543-8572
Fax: (330) 543-3226

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/11/2008.


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
1207ZP0213XPathologyPediatric Pathology35-034745OHIOYes

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
1F16776MEDICARE UPIN
2AG7120741MEDICARE ID-TYPE UNSPECIFIEDOHIO
30206217MEDICAIDOHIO

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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