Organization
GENERAL & VASCULAR SURGICAL SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS MAHALINGAM MD (PRESIDENT)
(513) 385-1919
Entity
Organization
Contact information
Practice address
11155 KENWOOD RD, SUITE 6C, CINCINNATI, OH 45242-1845
(513) 385-1919
(513) 385-6208
Mailing address
11155 KENWOOD RD, SUITE 6C, CINCINNATI, OH 45242-1845
(513) 385-1919
(513) 385-6208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006345
ANTHEM
OH
01
—
0067360
AETNA
OH
05
—
0741620
—
OH
01
—
1368191
UMWA
OH
01
—
1780184
UNITED HEALTHCARE
OH
05
—
65931149
—
KY
Enumeration date
10/18/2006
Last updated
04/20/2008
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