person
Spiro Odysseas Koustas, MD
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
NPI 1447981592

Spiro Odysseas Koustas is a Student in an Organized Health Care Education/Training Program based in Providence, RI. Spiro Odysseas Koustas practices in Providence, RI and has the professional credentials of MD. The NPI Number for Spiro Odysseas Koustas is 1447981592 and holds a License No. CLP05675 (Rhode Island).

The current practice location address for Spiro Odysseas Koustas is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-5180.

Location: 593 Eddy St, Providence, RI, 02903-4923
person
Provider Profile Details
NPI Number
1447981592
Provider Name
Spiro Odysseas Koustas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI, 02903-4923
Phone Number
401-444-5180
Fax Number
Provider Enumeration Date
06/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5180
Fax Number
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5180
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
CLP05675 (Rhode Island)
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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