Alexia T. Koudellou MD, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

230323 Issued in NY

Legal business name

ALEXIA T. KOUDELLOU MD, PC

Practice address

3275 Steinway St
Suite 206
Astoria, NY 11103-4046

Phone

(718) 932-8767

Fax

(718) 932-8768

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexia Thomas Koudellou, MDNPI 1346278066

Title

Owner

Phone

(718) 932-8767

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexia T Koudellou, MD

  • Gastroenterology Physician
  • Tolland, CT
  • NPI 1346278066
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114934718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 STEINWAY ST",
            "address_2": "SUITE 206",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034046",
            "telephone_number": "718-932-8767",
            "fax_number": "718-932-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 STEINWAY ST",
            "address_2": "SUITE 206",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034046",
            "telephone_number": "718-932-8767",
            "fax_number": "718-932-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIA T. KOUDELLOU MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOUDELLOU",
        "authorized_official_first_name": "ALEXIA",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-932-8767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "230323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emely J Alcantara
• Alexander Farca MD
• Steven Craig Alexander, M.D.
• Alexandria Care Inc.
• Alexandria Pharmacy Inc
• Anne Enid Laura Alexis, SLP
• Elisabeth Alexis, MD
• Cindi F Alfano, LMHC, LBA
• Eleni Alfaro, M.S.
• Rene Alfaro

• Gastroenterology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.