Gerasimos S Stavens, MD
Internal Medicine, Cardiovascular Disease in Louisville, KY. Individual provider (NPI-1).
NPI number1255464236
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1255464236
- Entity type
- Individual (NPI-1)
- Name
- Gerasimos S Stavens
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2007
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 38382 | KY | Yes |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | 38382 | KY |
Practice location
100 Mallard Creek RdSuite 150
Louisville, KY 40207-4194
Phone 502-589-7907 · Fax 502-589-1319
Mailing address
100 Mallard Creek RdSuite 150
Louisville, KY 40207-4194
Phone 502-589-7907 · Fax 502-589-1319
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