Individual
DR. THEODORE C KOUTLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059
Mailing address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
36754
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
M-12098
ID
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD60367366
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330004170
RAILROAD MEDICARE
NC
01
—
50281
BCBS NC
NC
05
—
8950281
—
NC
Enumeration date
08/22/2005
Last updated
06/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us