Philip D. Kousoubris in Eden Prairie - Diagnostic Radiology

Philip D. Kousoubris - NPI 1447350442

Philip D. Kousoubris is a Diagnostic Radiology in Eden Prairie, Minnesota. Philip D. Kousoubris practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Philip D. Kousoubris is 1447350442. The last update date is 2022-03-16.

Philip D. Kousoubris's current location address is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Philip D. Kousoubris is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Philip D. Kousoubris
Address 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Phone Number 9525951301
Fax Number 6122944903
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1447350442
Provider Enumeration Date 2006-09-22
Last Updated Date 2022-03-16

Provider Mailing Address Detail

Address 11995 Singletree Ln Ste 500
City Eden Prairie
State Minnesota (MN)
Post Code 553445349
Phone Number 9525951301
Fax Number 6122944903

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 160515
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Philip D. Kousoubris

What is the unique 10-digit identification code issued to Philip D. Kousoubris by the Centers for Medicare & Medicaid Services?

The Philip D. Kousoubris has been assigned the NPI (National Provider Identifier) 1447350442 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Philip D. Kousoubris is physically located?

The Philip D. Kousoubris is physically situated at the following address: 11995 Singletree Ln Ste 500, Eden Prairie, MN, 553445349.

What is Philip D. Kousoubris's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Philip D. Kousoubris's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Philip D. Kousoubris receive its 1447350442 assignment from the Centers for Medicare & Medicaid Services?

The Philip D. Kousoubris was assigned its 1447350442 by the Centers for Medicare & Medicaid Services on 2006-09-22.

As of what date were the Philip D. Kousoubris's details last updated?

The information pertaining to the Philip D. Kousoubris, including its address, specialty, and other details, was most recently updated on 2022-03-16.

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