Nicholas Gourtzelis in St Louis - Nephrology
Nicholas Gourtzelis - NPI 1790734994
Nicholas Gourtzelis is a Nephrology in St Louis, Missouri. Nicholas Gourtzelis practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Nicholas Gourtzelis is 1790734994. The last update date is 2011-09-12.
Nicholas Gourtzelis's current location address is 10004 Kennerly Rd, St Louis, Missouri. You can contact this provider via phone number 3148429669 and fax number 3148421017. The mailing address for Nicholas Gourtzelis is 10004 Kennerly Rd, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicholas Gourtzelis |
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Address | 10004 Kennerly Rd, St Louis, Missouri |
Phone Number | 3148429669 |
Fax Number | 3148421017 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1790734994 |
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Provider Enumeration Date | 2006-05-08 |
Last Updated Date | 2011-09-12 |
Provider Mailing Address Detail
Address | 10004 Kennerly Rd |
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City | St Louis |
State | Missouri (MO) |
Post Code | 63128 |
Phone Number | 3148429669 |
Fax Number | 3148421017 |
Provider's Primary Taxonomy Detail
Speciality | Nephrology |
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Taxonomy | 207Rn0300X |
Licence No | 2005006931 |
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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207376708 | MO | -- |
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What is the unique identification code assigned to Nicholas Gourtzelis by the Centers for Medicare & Medicaid Services?
The Nicholas Gourtzelis has been issued the NPI (National Provider Identifier) 1790734994. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nicholas Gourtzelis?
The Nicholas Gourtzelis is physically situated at 10004 Kennerly Rd, in the city of St Louis, state of MO, with the postal code 63128.
What is Nicholas Gourtzelis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicholas Gourtzelis's specialized field of practice is Nephrology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790734994 to Nicholas Gourtzelis?
The Centers for Medicare & Medicaid Services originally issued the 1790734994 to Nicholas Gourtzelis on 2006-05-08.
As of what date was the information regarding Nicholas Gourtzelis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicholas Gourtzelis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-12.