Individual
DEAN KEREIAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE STE 136, CINCINNATI, OH 45219-2906
(513) 206-1060
(513) 206-1062
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 206-1060
(513) 206-1062
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
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