George, Pradeesh M.
George, Pradeesh M. is an individual health care provider with primary practice located at 3130 N County Road 25A Ste 214 , Troy OH 45373-1337. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. George, Pradeesh M. can be contacted via phone (937) 332-8777.Contact Information
Primary practice address
3130 N County Road 25A Ste 214
Troy OH 45373-1337
Phone: (937) 332-8777
Fax: (937) 332-8773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34.010935 | Ohio |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 34.010935 | Ohio |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 34.010935 | Ohio |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 02004534A | Indiana |
Profile Details
NPI number | 1992960157 |
---|---|
LBN Legal business name | George, Pradeesh M. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2008 |
Last updated | Sep 16th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992960157 | NPPES |
Ohio | MEDICAID | 0086021 | |
Ohio | MEDICAID | 201290540 |
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