Yiannis Koutsofavas, PA-C
Physician Assistant in East Providence, Rhode Island
1164317194- Practice location
- 684 Warren Ave, East Providence, RI 02914-1405
- Phone
- 401-434-0022
- Fax
- 401-434-6111
- Last updated
- April 14, 2026
Yiannis Koutsofavas is a Physician Assistant based in East Providence, RI. Yiannis Koutsofavas practices in East Providence, RI and has the professional credentials of PA-C. The NPI Number for Yiannis Koutsofavas is 1164317194 and holds a License No. PA01799 (RI). The current practice location address for Yiannis Koutsofavas is 684 Warren Ave, East Providence, RI 02914-1405 and can be reached out via phone at 401-434-0022 and via fax at 401-434-6111.
Provider Profile Details
- NPI Number
- 1164317194
- Provider Name
- Yiannis Koutsofavas
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 684 Warren Ave, East Providence, RI 02914-1405
- Phone Number
- 401-434-0022
- Fax Number
- 401-434-6111
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2025
- Last Update Date
- April 14, 2026
- Certification Date
- April 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 684 Warren Ave
East Providence, RI 02914-1405 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-1405
- Phone Number
- 401-434-0022
- Fax Number
- 401-434-6111
Provider Business Mailing Address Details
- Address
- 684 Warren Ave
East Providence, RI 02914-1405 - City
- East Providence
- State
- RI
- Zip
- 02914-1405
License Information
- License Number
- PA01799
- License State
- RI
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Yiannis Koutsofavas, PA-C?
The NPI number of Yiannis Koutsofavas, PA-C is 1164317194. It was assigned on June 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Yiannis Koutsofavas, PA-C?
Yiannis Koutsofavas, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01799.
Where does Yiannis Koutsofavas, PA-C practice?
The practice location is 684 Warren Ave, East Providence, RI 02914-1405. The office can be reached at 401-434-0022 (phone) or 401-434-6111 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164317194 directly on the NPPES registry website.