Kakkasseril, Pratheek Simon

Kakkasseril, Pratheek Simon is an individual health care provider with primary practice located at 1001 Belmont Ave , Youngstown OH 44504-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kakkasseril, Pratheek Simon can be contacted via phone (330) 747-1106.

Contact Information

Primary practice address
1001 Belmont Ave Youngstown OH 44504-1003
Phone: (330) 747-1106
Fax: (330) 747-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.120203 Ohio

Profile Details

NPI number 1609195643
LBN Legal business name Kakkasseril, Pratheek Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2010
Last updated Feb 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609195643 NPPES
Ohio MEDICAID 0078791
Ohio Other H152570

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