Individual
VELISSARIOS KARACOSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 HIGHLAND AVE, SUITE A, CINCINNATI, OH 45219-2315
(513) 961-8484
(513) 487-3760
Mailing address
3001 HIGHLAND AVE, SUITE A, CINCINNATI, OH 45219-2315
(513) 961-8484
(513) 487-3760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-08-2459
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35-08-2459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2397213
—
OH
05
—
640702614
—
KY
Enumeration date
07/19/2006
Last updated
10/29/2012
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