Koutkia, Polyxeni D
Koutkia, Polyxeni D is an individual health care provider with primary practice located at 0 Emerson Place E00-112 Ste 112, Neuroendocrine, Boston MA 02114-2241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Koutkia, Polyxeni D can be contacted via phone (617) 726-7948.Contact Information
Primary practice address
0 Emerson Place E00-112 Ste 112, Neuroendocrine
Boston MA 02114-2241
Phone: (617) 726-7948
Fax: (617) 726-1241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 215954 | Massachusetts |
Profile Details
| NPI number | 1447240908 |
|---|---|
| LBN Legal business name | Koutkia, Polyxeni D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1447240908 | NPPES |
| Massachusetts | MEDICAID | 0208787 | |
| Massachusetts | Other | J27155 | |
| Massachusetts | Other | 468749 |
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