Provider Demographics
NPI:1427244193
Name:KARGAS, STEVE (EUSTACE) ARISTOMENIS (MD, PHD)
Entity type:Individual
Prefix:
First Name:STEVE (EUSTACE)
Middle Name:ARISTOMENIS
Last Name:KARGAS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 WESTSIDE PKWY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8947
Mailing Address - Country:US
Mailing Address - Phone:678-319-3305
Mailing Address - Fax:877-353-8769
Practice Address - Street 1:2580 WESTSIDE PKWY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-8947
Practice Address - Country:US
Practice Address - Phone:678-319-3305
Practice Address - Fax:877-353-8769
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG73958207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG61088Medicare UPIN