George, Kristopher Mahlon

George, Kristopher Mahlon is an individual health care provider with primary practice located at 16001 W 9 Mile Rd , Southfield MI 48075-4818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. George, Kristopher Mahlon can be contacted via phone (248) 849-2600.

Contact Information

Primary practice address
16001 W 9 Mile Rd Southfield MI 48075-4818
Phone: (248) 849-2600
Fax: (248) 849-2610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301117075 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME102425 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301117075 Michigan

Profile Details

NPI number 1033173463
LBN Legal business name George, Kristopher Mahlon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033173463 NPPES
Florida MEDICAID 000341300
Florida Other P01281024

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