Georgiadis, Mark S
Georgiadis, Mark S is an individual health care provider with primary practice located at 200 Delafield Rd Suite 3050, Pittsburgh PA 15215-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Georgiadis, Mark S can be contacted via phone (412) 781-3744.Contact Information
Primary practice address
200 Delafield Rd Suite 3050
Pittsburgh PA 15215-3205
Phone: (412) 781-3744
Fax: (412) 781-3793
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD061189L | Pennsylvania |
Profile Details
NPI number | 1437120441 |
---|---|
LBN Legal business name | Georgiadis, Mark S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 28th, 2006 |
Last updated | Dec 6th, 2013 - about 11 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 | 1437120441 | NPPES |
Pennsylvania | Other | 10765060 | CAQH |
Pennsylvania | MEDICAID | 0016407830005 | CAQH |
Pennsylvania | Other | 902487 | CAQH |
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