Provider Demographics
NPI:1902887847
Name:CHRISTOPOULOS, KATERINA A (MD)
Entity Type:Individual
Prefix:DR
First Name:KATERINA
Middle Name:A
Last Name:CHRISTOPOULOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:WARD 84
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-476-4082
Mailing Address - Fax:415-476-6953
Practice Address - Street 1:995 POTRERO AVE
Practice Address - Street 2:WARD 84
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-476-4082
Practice Address - Fax:415-476-6953
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2012-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA226272207R00000X
NY239812207RI0200X
CA105495207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease