NPI 1336584564 · live from the CMS NPI Registry
Anthony P. Koulianos MD INC
Obstetrics & Gynecology, Bariatric Medicine in Youngstown, OH. National Provider Identifier 1336584564, active.
NPI record
| NPI | 1336584564 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Bariatric Medicine 207VB0002X |
| Practice location | 935 Trailwood Dr, Suite A, Youngstown, OH 44512 |
| Practice phone | 330-953-3204 |
| Enumerated | May 1, 2013 |
| Last updated | June 12, 2015 |
| Authorized official | Anthony Koulianos, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Bariatric Medicine primary | 207VB0002X | 35072348 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.