Provider Demographics
NPI:1952741217
Name:TOURLAS, KONSTANTINOS (MD)
Entity Type:Individual
Prefix:DR
First Name:KONSTANTINOS
Middle Name:
Last Name:TOURLAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KOSTA
Other - Middle Name:
Other - Last Name:TOURLAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9500 EUCLID AVE # S60
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-1608
Mailing Address - Fax:216-445-9139
Practice Address - Street 1:9500 EUCLID AVE # S60
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-1608
Practice Address - Fax:216-445-9139
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.128233207Q00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine