Hatzoudis, Georgios
Hatzoudis, Georgios is an individual health care provider with primary practice located at 1138 Broadway St , Elmira NY 14904-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hatzoudis, Georgios can be contacted via phone (607) 734-2695.Contact Information
Primary practice address
1138 Broadway St
Elmira NY 14904-2502
Phone: (607) 734-2695
Fax: (607) 734-2917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME144433 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 261793 | New York |
Profile Details
| NPI number | 1164642096 |
|---|---|
| LBN Legal business name | Hatzoudis, Georgios |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | May 22nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164642096 | NPPES |
| South Dakota | Other | 1701924 | MEDICA |
| South Dakota | MEDICAID | 7302220 | MEDICA |
| South Dakota | Other | P00451957 | MEDICA |
| South Dakota | MEDICAID | 12976 | MEDICA |
| South Dakota | Other | 4992486 | MEDICA |
| South Dakota | MEDICAID | 03412282 | MEDICA |
| South Dakota | Other | 370624200 | MEDICA |
| South Dakota | Other | 412871051724 | MEDICA |
| South Dakota | Other | 1164642096 | MEDICA |
| South Dakota | Other | 253814 | MEDICA |
| South Dakota | MEDICAID | 688453000 | MEDICA |
| South Dakota | Other | 7054 | MEDICA |
| South Dakota | Other | HP79711 | MEDICA |
| South Dakota | Other | 70L87HA | MEDICA |
| South Dakota | Other | 70L87HA | MEDICA |
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