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Nicholas Basil Loudas
Student in an Organized Health Care Education/Training Program in Maplewood, Minnesota
NPI 1043605140

Nicholas Basil Loudas is a Student in an Organized Health Care Education/Training Program based in Maplewood, MN. Nicholas Basil Loudas practices in Maplewood, MN. The NPI Number for Nicholas Basil Loudas is 1043605140 and holds a License No. 78623 (Minnesota).

The current practice location address for Nicholas Basil Loudas is 1575 Beam Ave, Maplewood, MN and can be reached out via phone at 651-232-7970.

Location: 1575 Beam Ave, Maplewood, MN, 55109-1126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043605140
Provider Name
Nicholas Basil Loudas
Credential
Provider Entity Type
Individual
Gender
Male
Address
1575 Beam Ave, Maplewood, MN, 55109-1126
Phone Number
651-232-7970
Fax Number
Provider Enumeration Date
04/06/2015
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1575 Beam Ave
City
Maplewood
State
Minnesota
Zip
55109-1126
Phone Number
651-232-7970
Fax Number
person
Provider Business Mailing Address Details
Address
1575 Beam Ave
City
Maplewood
State
Minnesota
Zip
55109-1126
Phone Number
651-232-7970
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
1250224 (Iowa)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
78623 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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