National Provider Identifier
Georgios Hatzoudis, M.D.
Georgios Hatzoudis, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Elmira, NY and a listed phone number of (607) 734-2695.
Profile Overview
- NPI
- 1164642096
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- April 25, 2007
- Last Updated
- May 22, 2020
Practice Location
- 1138 Broadway St
- Elmira, NY 14904-2502
Phone: (607) 734-2695
Mailing Address
- 500 W Sagamore Ave
- Clewiston, FL 33440-3514
Specialties
- Surgery Physician (208600000X)
- Surgery Physician (208600000X)
Full Record
- NPI
- 1164642096
- Entity Type
- Individual
- Last Name
- Hatzoudis
- First Name
- Georgios
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 500 W Sagamore Ave
- Mailing City
- Clewiston
- Mailing State
- FL
- Mailing ZIP Code
- 33440-3514
- Mailing Country
- US
- Mailing Phone
- (863) 983-3434
- Mailing Fax
- (863) 983-2139
- Practice Street Address
- 1138 Broadway St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-2502
- Practice Country
- US
- Practice Phone
- (607) 734-2695
- Practice Fax
- (607) 734-2917
- Enumeration Date
- April 25, 2007
- Last Updated
- May 22, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 22, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X), Surgery Physician (208600000X)
- Other Identifiers
- 1701924 (SD, Medica), 7302220 (SD), P00451957 (Rr Medicare), 12976 (ND), 4992486 (SD, Blue Cross South Dakota), 03412282 (NY), 370624200 (SD, Dept Of Labor), 412871051724 (SD, Preferred One), 1164642096 (SD, Araz/ America'S Ppo), 253814 (SD, Midlands Choice), 688453000 (MN), 7054 (SD, Dakotacare), HP79711 (Healthpartners), 70L87HA (MN, Blue Cross), 70L87HA (MN, Cc Systems/ Blue Plus)