Antimisiaris, Michael G

Antimisiaris, Michael G is an individual health care provider with primary practice located at 911 Bypass Rd Bldg A , Pikeville KY 41501-1689. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Antimisiaris, Michael G can be contacted via phone (606) 430-2201.

Contact Information

Primary practice address
911 Bypass Rd Bldg A Pikeville KY 41501-1689
Phone: (606) 430-2201
Fax: (606) 218-4651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 37545 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37545 Kentucky

Profile Details

NPI number 1881606499
LBN Legal business name Antimisiaris, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881606499 NPPES
Kentucky MEDICAID 64055718

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