Theodore C Koutlas in Spokane - Thoracic Surgery (cardiothoracic Vascular Surgery)
Theodore C Koutlas - NPI 1902898331
Theodore C Koutlas is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Spokane, Washington. Theodore C Koutlas practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Theodore C Koutlas is 1902898331. The last update date is 2021-06-16.
Theodore C Koutlas's current location address is 62 W 7th Ave Ste 110, Spokane, Washington. You can contact this provider via phone number 5094560262 and fax number 5094625059. The mailing address for Theodore C Koutlas is 62 W 7th Ave Ste 110, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore C Koutlas |
|---|---|
| Address | 62 W 7th Ave Ste 110, Spokane, Washington |
| Phone Number | 5094560262 |
| Fax Number | 5094625059 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902898331 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2021-06-16 |
Provider Mailing Address Detail
| Address | 62 W 7th Ave Ste 110 |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992042321 |
| Phone Number | 5094560262 |
| Fax Number | 5094625059 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | M-12098 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330004170 | NC | RAILROAD MEDICARE | |
| 8950281 | NC | -- | |
| 50281 | NC | BCBS NC |
Post Comment/ Review Below
What is the unique identifier code issued to Theodore C Koutlas by the Centers for Medicare & Medicaid Services (CMS)?
The Theodore C Koutlas has been assigned the NPI (National Provider Identifier) 1902898331. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Theodore C Koutlas's facilities are situated?
The facilities of Theodore C Koutlas are physically located at the following address: 62 W 7Th Ave Ste 110, Spokane, WA, 992042321.
What is Theodore C Koutlas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theodore C Koutlas is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that classifies this field of practice is 208G00000X.
When did the Theodore C Koutlas receive its 1902898331?
The Theodore C Koutlas was issued its 1902898331 on 2005-08-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Theodore C Koutlas, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Theodore C Koutlas, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-16.