Boukovalas, Stefanos

Boukovalas, Stefanos is an sole proprietor health care provider with primary practice located at 1934 Alcoa Hwy Ste D362 , Knoxville TN 37920-1524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Boukovalas, Stefanos can be contacted via phone (865) 305-4670.

Contact Information

Primary practice address
1934 Alcoa Hwy Ste D362 Knoxville TN 37920-1524
Phone: (865) 305-4670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X BP20066599 Texas
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X BP10052157 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X MT202718 Pennsylvania
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 62868 Tennessee

Profile Details

NPI number 1235485137
LBN Legal business name Boukovalas, Stefanos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2012
Last updated Apr 11th, 2022 - 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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