Provider Demographics
NPI:1194491407
Name:DR.CARPOUSIS,M.D,LTD
Entity type:Organization
Organization Name:DR.CARPOUSIS,M.D,LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPOUSIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-979-1777
Mailing Address - Street 1:2001 COLUMBIA PIKE APT 131
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4556
Mailing Address - Country:US
Mailing Address - Phone:703-979-1777
Mailing Address - Fax:703-979-8258
Practice Address - Street 1:2001 COLUMBIA PIKE APT 131
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4556
Practice Address - Country:US
Practice Address - Phone:703-979-1777
Practice Address - Fax:703-979-8258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty