Myria Petrou
SELF MEDICAL GROUP


Address: 180 Broad St, Apt 1332, Stamford, CT 06901-5000
Phone: 8647255437

Myria Petrou (NPI# 1245351733, PAC ID# 4880760016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1245351733
PAC ID by PECOS 4880760016
Professional Enrollment ID I20190911000866
Full Name Myria Petrou
Organization Legal Name SELF MEDICAL GROUP
Address 180 Broad St
Apt 1332
Stamford
CT 06901-5000
Phone Number 8647255437
Gender F
Graduation Year 2000
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 6002953916
Number of Group Practice Members 274
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420071 SELF REGIONAL HEALTHCARE

Other Locations

Address Phone Organization
180 Broad St, Apt 1332, Stamford, CT 06901-5000 8647255437 SELF MEDICAL GROUP

Organization Information

Organization Legal Name SELF MEDICAL GROUP
Physicians 246

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Name Specialty Organization Address
Mariah Montana Aden Physician Assistant Self Medical Group 2605 Kinard St, Suite 200, Newberry, SC 29108-2965
Sylvia Gyapong Diagnostic Radiology Self Medical Group 11035 Longboat Key Ln, Apt 308, Tampa, FL 33626-2754
Anas Abdel Azim Vascular Surgery Self Medical Group 160 Academy Ave, Greenwood, SC 29646-3808
Varinder Kaur Singh Family Medicine Self Medical Group 207 Holiday Rd, Mc Cormick, SC 29835-3430
Jill Bell Shirley Nurse Practitioner Self Medical Group 105 Vinecrest Ct, Suite 1000, Greenwood, SC 29646-8031
Brian W Gunter Infectious Disease Self Medical Group 104 Liner Dr, Greenwood, SC 29646-2310
John Vincent Maylock Family Medicine Self Medical Group 1228 Hwy 72 W, Greenwood, SC 29649-1816
Kristal Smith Pitts Nurse Practitioner Self Medical Group 421 Epting Ave, Greenwood, SC 29646-4041
Leanna Willis Owings Nurse Practitioner Self Medical Group 102 R L Sawyer Md Dr, Saluda, SC 29138-9199
Mariusz Artur Olszewski Diagnostic Radiology Self Medical Group 401 5th St, Coronado, CA 92118-1602

Office Location

Street Address 180 BROAD ST
APT 1332
City STAMFORD
State CT
Zip 06901-5000

Physicians in the same zip code

Name Specialty Organization Address
Jeffrey Cohen Psychologist, Clinical 833 Summer St, 1a, Stamford, CT 06901-1047
Maria Luiza Gheorghe Youssefi Optometry 168 Bedford St, Stamford, CT 06901-1901
Garren Craner Optometry 111 Broad St, Stamford, CT 06901-2797
Frank P Castaldi Optometry 1 Bank St Ground Level, Stamford, CT 06901-3006
Tal B Delman Diagnostic Radiology Atlantic Radiologists Professional Association LLC 75 Tresser Blvd, Unit 476, Stamford, CT 06901-3368

Competitor

Search similar physicians

City STAMFORD
Zip Code 06901
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty STAMFORD + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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