Individual
DR. ALEXANDRA GERASSIMIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, PATHOLOGY DEPT, LOUISVILLE, KY 40202-1821
(502) 456-6212
(502) 456-4440
Mailing address
1941 BISHOP LN STE 1018, LOUISVILLE, KY 40218-1928
(502) 456-6211
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25558
KY
207ZP0213X
Pediatric Pathology Physician
25558
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000998707
ANTHEM
KY
05
—
200044910A
—
IN
01
—
50105848
PASSPORT
KY
05
—
64255581
—
KY
Enumeration date
05/31/2005
Last updated
02/22/2021
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