Roussis, Periclis

Roussis, Periclis is an individual health care provider with primary practice located at 501 19Th St. Suite 401, Knoxville TN 37916-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Roussis, Periclis can be contacted via phone (865) 331-2020.

Contact Information

Primary practice address
501 19Th St. Suite 401 Knoxville TN 37916-1839
Phone: (865) 331-2020
Fax: (865) 331-2019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD18681 Tennessee

Profile Details

NPI number 1023013307
LBN Legal business name Roussis, Periclis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 26th, 2017 - about 7 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 1023013307 NPPES
Tennessee MEDICAID 3033722
Tennessee Other 4061072

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