Constantine George Scordalakes
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4199 Gateway Blvd Suite 2300
Newburgh
, Indiana 47630-8940
Constantine George Scordalakes
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4199 Gateway Blvd Suite 2300
Newburgh
, Indiana 47630-8940
(812) 858-4611
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Constantine George Scordalakes
- 4199 Gateway Blvd Suite 2300
- Newburgh, IN
- Zip : 47630-8940
- Fax : (812) 858-4611
- Phone : (812) 858-4610
Second Address
- Constantine George Scordalakes
- 4199 Gateway Blvd Suite 2300
- Newburgh, IN
- Zip : 47630-8940
- Fax : (812) 858-4611
- Phone : (812) 858-4610
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 01067031A | IN |
| N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01067031A | IN |
National Provider Identifier
| NPI | 1437235645 |
|---|---|
| Provider Name | Constantine George Scordalakes |
| First Address | Newburgh, IN 47630-8940 |
| Second Address | Newburgh, IN 47630-8940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 18/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200990720 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.