Individual
DR. GEORGIOS HATZOUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1138 BROADWAY ST, ELMIRA, NY 14904-2502
(607) 734-2695
(607) 734-2917
Mailing address
500 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 983-3434
(863) 983-2139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
261793
NY
208600000X
Surgery Physician
Primary
ME144433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03412282
—
NY
01
—
1164642096
ARAZ/ AMERICA'S PPO
SD
05
—
12976
—
ND
01
—
1701924
MEDICA
SD
01
—
253814
MIDLANDS CHOICE
SD
01
—
370624200
DEPT OF LABOR
SD
01
—
412871051724
PREFERRED ONE
SD
01
—
4992486
BLUE CROSS SOUTH DAKOTA
SD
05
—
688453000
—
MN
01
—
7054
DAKOTACARE
SD
01
—
70L87HA
BLUE CROSS
MN
05
—
7302220
—
SD
01
—
HP79711
HEALTHPARTNERS
—
01
—
P00451957
RR MEDICARE
—
Enumeration date
04/25/2007
Last updated
05/22/2020
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