Koumpouras, Fotios
Koumpouras, Fotios is an individual health care provider with primary practice located at 6 Devine St Suite 2B, North Haven CT 06473-2195. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Koumpouras, Fotios can be contacted via phone (203) 737-5430.Contact Information
Primary practice address
6 Devine St Suite 2B
North Haven CT 06473-2195
Phone: (203) 737-5430
Fax: (203) 785-7053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 042299 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 230675 | New York |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD431644 | Pennsylvania |
Profile Details
| NPI number | 1316982218 |
|---|---|
| LBN Legal business name | Koumpouras, Fotios |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jun 30th, 2015 - about 9 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 | 1316982218 | NPPES |
| Pennsylvania | MEDICAID | 1019099240003 |
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