Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES KATRIVESIS, MD
Active Sole ProprietorJAMES KATRIVESIS, MD is a Therapeutic Radiology healthcare provider located in MERIDIAN, Idaho. NPI 1851687008 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · MERIDIAN, ID
Registration Details
- NPI Number
- 1851687008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2011 (15.158726040454 yrs)
- Last Updated
- Sep 27, 2022
- Licenses
-
A122890 (CA)M-16126 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3277 E LOUISE DR STE 100MERIDIAN, ID, 836429360Browse ID providers · Browse ZIP 83642
- Phone
- 2087067086
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.