Provider Demographics
NPI:1720067028
Name:SAKOPOULOS, ANDREAS GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:GEORGE
Last Name:SAKOPOULOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:212 SAN JOSE ST STE 301
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3928
Mailing Address - Country:US
Mailing Address - Phone:831-759-3289
Mailing Address - Fax:831-758-1565
Practice Address - Street 1:212 SAN JOSE ST STE 301
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3928
Practice Address - Country:US
Practice Address - Phone:831-759-3289
Practice Address - Fax:831-758-1565
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA56098208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A560980Medicaid
CA00A560980Medicaid
CAF65378Medicare UPIN