# GEORGE J MIKOS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245294065
- **Authorized official:** GEORGE J MIKOS MD (OWNER MD)
- **Authorized official phone:** (502) 895-4919

## Contact information

- **Practice address:** 3950 KRESGE WAY, STE 103, LOUISVILLE, KY 40207
- **Practice address phone:** (502) 897-2667
- **Practice address fax:** (502) 895-4919
- **Mailing address:** 2301 RIVER RD, \#300, LOUISVILLE, KY 40206
- **Mailing address phone:** (502) 814-3175
- **Mailing address fax:** (502) 426-5493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 08/22/2020