Mikos, George J

Mikos, George J is an individual health care provider with primary practice located at 3 Audubon Plaza Dr Ste 560 , Louisville KY 40217-1376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mikos, George J can be contacted via phone (502) 636-8004.

Contact Information

Primary practice address
3 Audubon Plaza Dr Ste 560 Louisville KY 40217-1376
Phone: (502) 636-8004
Fax: (502) 636-8384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35282 Kentucky

Profile Details

NPI number 1972564268
LBN Legal business name Mikos, George J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jan 20th, 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 1972564268 NPPES
Other 000000495881 ANTHEM - CTS
MEDICAID 200276930 ANTHEM - CTS
Other 2757822000 ANTHEM - CTS
Other 50011794 ANTHEM - CTS
Other P00374287 ANTHEM - CTS
Other 2757831000 ANTHEM - CTS
Other 50011793 ANTHEM - CTS
MEDICAID 64004187 ANTHEM - CTS
Other 078880 ANTHEM - CTS

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