Individual
MICHAEL A DEGEORGIA
Active
Individual
MICHAEL A DEGEORGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35077420D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225045
UNISON
OH
01
—
000000532719
ANTHEM
OH
05
—
1053425983
—
MI
05
—
2146252
—
OH
01
—
414959
WELLCARE MEDICAID
OH
01
—
7350024
AETNA
OH
01
—
737176
BUCKEYE MEDICAID
OH
01
—
P00440902
RAILRAOD MEDICARE
OH
Enumeration date
08/18/2006
Last updated
05/12/2014
Update your record
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