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Contact Information

FOTIOS KOUMPOURAS, MD
6 DEVINE ST
SUITE 2B
NORTH HAVEN, CT06473-2195
 Phone: 203-737-5430
 Fax: 203-785-7053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FOTIOS KOUMPOURAS · (Male)

NPI Number 1316982218
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2006
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 042299
  • NY License # 230675
  • PA License # MD431644
  • PA Medicaid 1019099240003
Hospital affiliation(s)
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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