Koniaris, Leonidas G

Koniaris, Leonidas G is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Koniaris, Leonidas G can be contacted via phone (317) 278-7778.

Contact Information

Primary practice address
550 University Blvd Indianapolis IN 46202-5149
Phone: (317) 278-7778
Fax: (317) 274-0241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD442981 Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME87729 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 01072696A Indiana

Profile Details

NPI number 1215991146
LBN Legal business name Koniaris, Leonidas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 13th, 2021 - about 3 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 1215991146 NPPES
Indiana MEDICAID 201208380
Indiana MEDICAID 2678489-00

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