Individual
VICTOR SOUKOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, PH.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 243-1000
(434) 244-7551
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053209
IL
207RC0000X
Cardiovascular Disease Physician
Primary
0101256460
VA
Other
Enumeration date
12/14/2007
Last updated
10/07/2020
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