Yiannis Koutsofavas, PA-C

NPI 1164317194 · on the registry since 2025

Practice

Address: 684 Warren Ave
East Providence, RI 02914
Phone: (401) 434-0022
Fax: (401) 434-6111
Organisation at this address: Primary Medical Center And Walk-In Llc
Primary Walk-In Medical Urgent Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: RI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island