Individual provider · Type 1 NPI
Akilis Mike Theoharidis, D.P.M
Foot Surgery Podiatrist · Gladstone, MO
NPI number
1912933474
Active
Practice location
407 NE 76th Ter
Gladstone, MO 64118-1708
Fax (816) 436-0999
Other practice locations
- 2301 Holmes St, Kansas City, MO 64108-2640 · (816) 404-0044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 000747 (MO) |
| Foot Surgery Podiatrist | 213ES0131X | 12-00294 (KS) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 000747 (MO) |
Foot Surgery Podiatrist: Definition to come...
5 other providers at this address
- Ankle and Foot Centers of Missouri P.c.Clinical Medical Laboratory Glandstone, MO NPI 1033871827
- Ankle and Foot Centers of Missouri P.c.Foot & Ankle Surgery Podiatrist Gladstone, MO NPI 1790714491
- Elite Medical Equipment and Supplies, L.l.c.Durable Medical Equipment & Medical Supplies Gladstone, MO NPI 1952679052
- Kate Selsby Revill, DPMFoot & Ankle Surgery Podiatrist Gladstone, MO NPI 1427362946
- Tanner Coleman, DPMFoot & Ankle Surgery Podiatrist Gladstone, MO NPI 1780156687
Other foot surgery podiatrist providers in Gladstone
About NPI 1912933474
Akilis Mike Theoharidis, D.P.M's National Provider Identifier is 1912933474, issued on Jun 24, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Gladstone, MO. The record was last updated on Dec 23, 2020.