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Contact Information

GREGORY BOURDAKOS, MD
9500 EUCLID AVE
CLEVELAND, OH44195-0001
 Phone: 800-223-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREGORY BOURDAKOS · (Male)

NPI Number 1699738583
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 09/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35064702
  • OH License # 35064702B
  • OH Medicaid 2181571
Hospital affiliation(s)
  • CLEVELAND CLINIC - (Acute Care)
    9500 EUCLID AVENUE
    CLEVELAND, OH 44195
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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