Gianoukos, Stephanie

Gianoukos, Stephanie is an individual health care provider with primary practice located at 736 Cambridge St , Boston MA 02135-2907. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Gianoukos, Stephanie can be contacted via phone (617) 789-2782.

Contact Information

Primary practice address
736 Cambridge St Boston MA 02135-2907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 252597 Massachusetts
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 252597 Massachusetts

Profile Details

NPI number 1497990485
LBN Legal business name Gianoukos, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2008
Last updated Nov 26th, 2013 - about 11 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 1497990485 NPPES
Other AA324196 HARVARD PILGRIM
MEDICAID 110097035A HARVARD PILGRIM
MEDICAID 3090768 HARVARD PILGRIM

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