Goudas, Leonidas Athanasios
Goudas, Leonidas Athanasios is an individual health care provider with primary practice located at 300 Enola Rd , Morganton NC 28655-4608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Goudas, Leonidas Athanasios can be contacted via phone (828) 608-6360.Contact Information
Primary practice address
300 Enola Rd
Morganton NC 28655-4608
Phone: (828) 608-6360
Fax: (828) 433-2735
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 200300795 | North Carolina |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 2003-00795 | North Carolina |
Profile Details
NPI number | 1306941133 |
---|---|
LBN Legal business name | Goudas, Leonidas Athanasios |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2006 |
Last updated | Aug 17th, 2023 - about last year |
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 | 1306941133 | NPPES |
New York | MEDICAID | 89134XN | |
New York | Other | 134XN |
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