Provider Demographics
NPI:1730147596
Name:ASSIKIS, VASILEIOS JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:VASILEIOS
Middle Name:JOHN
Last Name:ASSIKIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1800 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2538
Mailing Address - Country:US
Mailing Address - Phone:404-350-9853
Mailing Address - Fax:404-605-8635
Practice Address - Street 1:775 POPLAR RD STE 310
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-8303
Practice Address - Country:US
Practice Address - Phone:770-251-2590
Practice Address - Fax:770-251-1490
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2024-08-08
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Provider Licenses
StateLicense IDTaxonomies
GA052530207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH50237Medicare UPIN