MEDICARE: DR. MICHAEL T BARKOUKIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	35045849B	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740258128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL T BARKOUKIS MD

Provider Business Mailing Address
First Line	:	6900 PEARL RD
Second Line	:	SUITE 200
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3639
Country	:	US
Telephone Number	:	440-845-0900
Fax Number	:	440-845-7355

Provider Business Practice Location Address
First Line	:	6900 PEARL RD
Second Line	:	SUITE 200
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3639
Country	:	US
Telephone Number	:	440-845-0900
Fax Number	:	440-845-7355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	01/14/2010

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