Healthcare Provider Details
I. General information
NPI: 1003834938
Provider Name (Legal Business Name): HARIKLIA LOUVAKIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/18/2006
Last Update Date: 01/05/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
460 W CENTRAL AVE SUITE D
DELAWARE OH
43015-1435
US
IV. Provider business mailing address
L-3401
COLUMBUS OH
43260-3401
US
V. Phone/Fax
- Phone: 740-615-2700
- Fax: 740-615-2701
- Phone: 740-615-1324
- Fax: 740-615-1344
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 35-08-3333-L |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 35083333L |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: