Leonidas G Koniaris
Surgeon Surgical Oncologist
550 University Blvd
Indianapolis
, Indiana 46202-5149
Leonidas G Koniaris
Surgeon Surgical Oncologist
550 University Blvd
Indianapolis
, Indiana 46202-5149
(317) 962-4343
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Leonidas G Koniaris
- 250 N Shadeland Ave Suite 130, Provider Enrollment
- Indianapolis, IN
- Zip : 46219-4959
- Fax : (317) 962-4343
- Phone : (317) 963-0860
Second Address
- Leonidas G Koniaris
- 550 University Blvd
- Indianapolis, IN
- Zip : 46202-5149
- Fax : (317) 274-0241
- Phone : (317) 278-7778
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FAQs
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Is Leonidas G Koniaris a sole practitioner?
Is Leonidas G Koniaris accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 01072696A | IN |
| Y | 208600000X | Surgeon | 01072696A | IN |
| N | 2086X0206X | Surgical Oncologist | MD442981 | PA |
| N | 2086X0206X | Surgical Oncologist | ME87729 | FL |
National Provider Identifier
| NPI | 1215991146 |
|---|---|
| Provider Name | Leonidas G Koniaris |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5149 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 13/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201208380 | (05) | IN |
| 2678489-00 | (05) | FL |
| F91267 | (02) | FL |
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.