NPI 1063577005 · live from the CMS NPI Registry
Demetrios J Agriantonis, MD
Radiology, Vascular & Interventional Radiology in Newark, DE. National Provider Identifier 1063577005, active.
NPI record
| NPI | 1063577005 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 4755 Ogletown Stanton Road, Suite 1e20, Newark, DE 19718 |
| Practice phone | 302-733-5625 |
| Enumerated | December 27, 2006 |
| Last updated | December 13, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Medicine | 207U00000X | 1899 (WI) |
| Radiology, Diagnostic Radiology | 2085R0202X | C10010195 (DE) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | C1-0010195 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.