Individual
GEOFFREY JEYASINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 GORDON GUTMANN BLVD STE 101, JEFFERSONVILLE, IN 47130-3765
(812) 282-4844
(812) 282-6248
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01087665A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196290260
MEDICARE
IN
05
—
300066509
—
IN
05
—
7100743210
—
KY
Enumeration date
05/02/2018
Last updated
04/04/2024
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