Individual
PRADEESH M. GEORGE
Active
Individual
PRADEESH M. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34.010935
OH
2086S0102X
Surgical Critical Care Physician
34.010935
OH
2086S0127X
Trauma Surgery Physician
Primary
02004534A
IN
2086S0127X
Trauma Surgery Physician
34.010935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086021
—
OH
05
—
201290540
—
IN
Enumeration date
07/26/2008
Last updated
09/16/2020
Update your record
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