Individual
DR. KONSTANTINOS D BOUDOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7677
(614) 293-5614
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7677
(614) 293-8518
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.094280
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.094280
OH
207RI0011X
Interventional Cardiology Physician
Primary
35094280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997119
—
OH
Enumeration date
12/12/2006
Last updated
04/21/2026
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