Bourdakos, Gregory

Bourdakos, Gregory is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Bourdakos, Gregory can be contacted via phone (800) 223-2273.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-0001
Phone: (800) 223-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35064702B Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 35064702 Ohio

Profile Details

NPI number 1699738583
LBN Legal business name Bourdakos, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Sep 17th, 2014 - about 10 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 1699738583 NPPES
Ohio MEDICAID 2181571

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