Provider Demographics
NPI:1053769877
Name:DALAMAGKAS, KYRIAKOS (MD)
Entity type:Individual
Prefix:
First Name:KYRIAKOS
Middle Name:
Last Name:DALAMAGKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 MOURSUND AVE
Mailing Address - Street 2:BLDG. G RM 115-118
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5389
Mailing Address - Country:US
Mailing Address - Phone:713-799-5033
Mailing Address - Fax:713-797-5982
Practice Address - Street 1:1331 MOURSUND AVE
Practice Address - Street 2:BLDG. G RM 115-118
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5389
Practice Address - Country:US
Practice Address - Phone:713-799-5033
Practice Address - Fax:713-797-5982
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.068153390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program