Individual
DR. EVANGELOS G. GERANIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 MAIN ST, HYANNIS, MA 02601-3127
(508) 771-9550
(508) 790-9304
Mailing address
110 MAIN ST, HYANNIS, MA 02601-3127
(508) 771-9550
(508) 790-9304
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
59120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029929
BMC HEALTHNET
MA
01
—
27124
HARVARD PILGRIM HEALTH
MA
05
—
3033716
—
MA
01
—
340004053
RAILROAD MEDICARE
MA
01
—
5211954001
CIGNA
MA
01
—
795314
TUFTS HEALTH PLAN
MA
01
—
J07274
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/22/2005
Last updated
11/02/2010
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