Scordalakes, Constantine George

Scordalakes, Constantine George is an individual health care provider with primary practice located at 4199 Gateway Blvd Suite 2300, Newburgh IN 47630-8940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Scordalakes, Constantine George can be contacted via phone (812) 858-4610.

Contact Information

Primary practice address
4199 Gateway Blvd Suite 2300 Newburgh IN 47630-8940
Phone: (812) 858-4610
Fax: (812) 858-4611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 01067031A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01067031A Indiana

Profile Details

NPI number 1437235645
LBN Legal business name Scordalakes, Constantine George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 20th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437235645 NPPES
Indiana MEDICAID 200990720

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