Provider Demographics
NPI:1104873314
Name:PARASHOS, SOTIRIOS ANDREAS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SOTIRIOS
Middle Name:ANDREAS
Last Name:PARASHOS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S # MS 21110Q
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3931 LOUISIANA AVE S
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-5000
Practice Address - Country:US
Practice Address - Phone:952-993-3230
Practice Address - Fax:952-993-1748
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN385592084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN119701C029OtherUCARE
MN47A83PAOtherBCBS OF MN
MN603544OtherAMERICA'S PPO
MNHP21613OtherHEALTHPARTNERS
MN130015939OtherRAILROAD MEDICARE
WI32389300Medicaid
MN214822600Medicaid
MN0511819OtherMEDICA
MN1013568OtherPREFERRED ONE
MN47A83PAOtherBCBS OF MN
MNHP21613OtherHEALTHPARTNERS