IndividualActive
Jason Theodosakis, M.D.
NPI 1285041822 · Public Health & General Preventive Medicine Physician · Tucson, AZ
Provider details
- NPI number
- 1285041822
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19640 (AZ)
Mailing address
5257 N Via Sempreverde
Tucson, AZ 85750-5967
Registry dates
- Enumerated
- 2014-07-15
- Last updated
- 2014-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.