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Contact Information

JAMES KATRIVESIS, MD
3277 E LOUISE DR STE 100
MERIDIAN, ID83642-9360
 Phone: 208-706-7086
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for JAMES KATRIVESIS · (Male)

NPI # 1851687008
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2011
Last updated 09/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A122890
  • ID License # M-16126
Hospital affiliation(s)
  • UNIVERSITY OF CALIFORNIA IRVINE MED CENTER - (Acute Care)
    101 CITY DRIVE SOUTH
    ORANGE, CA 92868
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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