Individual provider · Type 1 NPI

Ioannis Pothoulakis, MD

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1649730375 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Call (651) 254-3456 Map

Mailing address

110 Irving St. NW
Washington, DC 20010

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649730375

Ioannis Pothoulakis, MD's National Provider Identifier is 1649730375, issued on Mar 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on May 3, 2025.