Individual
DEAN KEREIAKES
Active
Individual
DEAN KEREIAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35050880
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.05088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019743
ANTHEM
—
05
—
0587057
—
OH
01
—
0641590
AETNA
—
05
—
100009830
—
IN
01
—
2520396
UNITED
—
01
—
2833852
AMERIGROUP
—
01
—
311438871032
CARESOURCE
—
01
—
5088005
HUMANA
—
05
—
64787609
—
KY
05
—
P8B127810
—
TX
Enumeration date
03/02/2006
Last updated
10/21/2020
Update your record
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