Luiskutty, George C

Luiskutty, George C is an individual health care provider with primary practice located at 4092 Foxwood Dr Ste 101, Virginia Beach VA 23462-5225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Luiskutty, George C can be contacted via phone (757) 686-3508.

Contact Information

Primary practice address
4092 Foxwood Dr Ste 101 Virginia Beach VA 23462-5225
Phone: (757) 686-3508
Fax: (757) 686-0541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101241832 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 47715 Minnesota

Profile Details

NPI number 1922079367
LBN Legal business name Luiskutty, George C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 19th, 2015 - about 9 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 1922079367 NPPES
Minnesota MEDICAID 697631000

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