Kouchoukos, Nicholas

Kouchoukos, Nicholas is an individual health care provider with primary practice located at 3023 N Ballas Rd Ste 150D , Saint Louis MO 63131-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kouchoukos, Nicholas can be contacted via phone (314) 996-5287.

Contact Information

Primary practice address
3023 N Ballas Rd Ste 150D Saint Louis MO 63131-2319
Phone: (314) 996-5287
Fax: (314) 432-6068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 28052 Missouri

Profile Details

NPI number 1972614576
LBN Legal business name Kouchoukos, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 11th, 2019 - about 6 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 1972614576 NPPES
Missouri MEDICAID 202103727

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