Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YIANNIS KOUTSOFAVAS, PA-C
ActiveYIANNIS KOUTSOFAVAS, PA-C is a Adolescent Medicine healthcare provider located in EAST PROVIDENCE, Rhode Island. NPI 1164317194 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · EAST PROVIDENCE, RI
Registration Details
- NPI Number
- 1164317194
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2025 (0.99215109941467 yrs)
- Last Updated
- Jun 10, 2025
- License
-
PA01799 (RI)
Practice Information
- Address
-
684 WARREN AVEEAST PROVIDENCE, RI, 029141405Browse RI providers · Browse ZIP 02914
- Phone
- 4014340022
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.