Individual
GEORGE C LUISKUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4092 FOXWOOD DR, STE 101, VIRGINIA BEACH, VA 23462-5225
(757) 686-3508
(757) 686-0541
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101241832
VA
207P00000X
Emergency Medicine Physician
47715
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697631000
—
MN
Enumeration date
02/01/2006
Last updated
02/19/2015
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