Provider Demographics
NPI:1942564943
Name:KAZACOS, STEFAN GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:GEORGE
Last Name:KAZACOS
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:PSC 422 BOX 458
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09067-0005
Mailing Address - Country:US
Mailing Address - Phone:609-849-8152
Mailing Address - Fax:
Practice Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:DR. HIZELBERGER STRASSE
Practice Address - City:LANDSTUHL
Practice Address - State:RHINELAND PFALZ
Practice Address - Zip Code:66849
Practice Address - Country:DE
Practice Address - Phone:314-528-6027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARTP 005634207P00000X
WAMD60757748207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine