Wellformed AI

NPI 1336308758 · live from the CMS NPI Registry

Sotirios Tony Keros, M.D., Ph.D.

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Sioux Falls, SD. National Provider Identifier 1336308758, active.

NPI record

NPI1336308758 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X
Practice location1600 W 22nd St, Sioux Falls, SD 57105
Practice phone605-312-1000
Mailing addressPo Box 5074, Sioux Falls, SD 57117
EnumeratedJune 2, 2008
Last updatedAugust 14, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program390200000X—
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary2084N0402X9449 (SD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.