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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215991146 | NPPES |
| Indiana | MEDICAID | 201208380 | |
| Indiana | MEDICAID | 2678489-00 |
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