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Contact Information

DIMITRIOS KOUDOUMAS, M.D., PH.D
1101 26TH ST S
GREAT FALLS, MT59405-5161
 Phone: 406-731-8888
 Fax: 406-731-8876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DIMITRIOS KOUDOUMAS · (Male)

NPI # 1639456767
Status Active
Credentials M.D., PH.D
Entity Individual
Enumeration date 11/03/2011
Last updated 04/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 118900
Hospital affiliation(s)
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
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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