Gerassimides, Alexandra

Gerassimides, Alexandra is an individual health care provider with primary practice located at 231 E Chestnut St Pathology Dept, Louisville KY 40202-1821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Gerassimides, Alexandra can be contacted via phone (502) 456-6212.

Contact Information

Primary practice address
231 E Chestnut St Pathology Dept Louisville KY 40202-1821
Phone: (502) 456-6212
Fax: (502) 456-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25558 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 25558 Kentucky

Profile Details

NPI number 1245233626
LBN Legal business name Gerassimides, Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 22nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245233626 NPPES
Kentucky Other 50105848 PASSPORT
Kentucky Other 000000998707 PASSPORT
Kentucky MEDICAID 200044910A PASSPORT
Kentucky MEDICAID 64255581 PASSPORT

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