National Provider Identifier
Theofanis Kalathas, M.D.
Theofanis Kalathas, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Brockport, NY and a listed phone number of (585) 758-7557.
Profile Overview
- NPI
- 1477042737
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 02, 2018
- Last Updated
- July 07, 2023
Practice Location
- 156 West Ave Fl 2
- Brockport, NY 14420-1229
Phone: (585) 758-7557
Specialties
- Internal Medicine Physician (207R00000X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- tkalathas231024@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1477042737
- Entity Type
- Individual
- Last Name
- Kalathas
- First Name
- Theofanis
- Credential
- M.D.
- Mailing Street Address
- 156 West Ave Fl 2
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1229
- Mailing Country
- US
- Mailing Phone
- (585) 758-7557
- Mailing Fax
- (585) 637-5626
- Practice Street Address
- 156 West Ave Fl 2
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 758-7557
- Practice Fax
- (585) 637-5626
- Enumeration Date
- May 02, 2018
- Last Updated
- July 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Medical Physician Assistant (363AM0700X)