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DR. POLYXENI D KOUTKIA MD NPI 1447240908


NPI Information

NPI: 1447240908
Provider Name: DR. POLYXENI D KOUTKIA, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
0 EMERSON PLACE E00-112
STE 112, NEUROENDOCRINE
BOSTON, MA
ZIP 02114
Phone: (617) 726-7948
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DR. Polyxeni D Koutkia, MD is an endocrinology and diabetes and metabolism internal medicine in Boston, MA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Polyxeni D Koutkia, MD NPI is 1447240908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

0 EMERSON PLACE E00-112
STE 112, NEUROENDOCRINE
BOSTON, MA
ZIP 02114-241
Phone: (617) 726-7948
Fax: (617) 726-1241

The enumeration date for this NPI number is 10/26/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism215954MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I07673MEDICARE UPIN
2J27155OTHERMASSACHUSETTSBCBS MA
3468749OTHERMASSACHUSETTSTUFTS HEALTH PLAN
40208787MEDICAIDMASSACHUSETTS
5A36496MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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