Kousourou, Gabriel C

Kousourou, Gabriel C is an individual health care provider with primary practice located at 701 E County Line Rd Ste 101 , Greenwood IN 46143-1070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Kousourou, Gabriel C can be contacted via phone (317) 885-2860.

Contact Information

Primary practice address
701 E County Line Rd Ste 101 Greenwood IN 46143-1070
Phone: (317) 885-2860
Fax: (317) 885-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 02006793A Indiana

Profile Details

NPI number 1538697024
LBN Legal business name Kousourou, Gabriel C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2017
Last updated May 9th, 2023 - about 2 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 1538697024 NPPES
Indiana MEDICAID 300038306

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