Individual
GREGORY M GEORGIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 HUGHES DR, SUITE 310, TOLEDO, OH 43606-3845
(419) 291-3858
(419) 482-8701
Mailing address
2121 HUGHES DR, SUITE 310, TOLEDO, OH 43606-3845
(419) 291-3858
(419) 482-8701
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35058405
OH
207XX0801X
Orthopaedic Trauma Physician
35058405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000502458
ANTHEM
OH
01
—
01739
PARAMOUNT
OH
01
—
0962909
BCMH
OH
05
—
0962909
—
OH
01
—
12-16741
UHC
OH
01
—
4418637
AETNA
OH
05
—
4944110
—
OH
01
—
P00366740
RRM
OH
Enumeration date
08/29/2005
Last updated
11/03/2023
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