Saridakis, Michael A

Saridakis, Michael A is an individual health care provider with primary practice located at 310 N L Rogers Wells Blvd Ste 103 , Glasgow KY 42141-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Saridakis, Michael A can be contacted via phone (270) 659-5945.

Contact Information

Primary practice address
310 N L Rogers Wells Blvd Ste 103 Glasgow KY 42141-1300
Fax: (270) 659-5855
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29430 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 48331 Kentucky

Profile Details

NPI number 1407850134
LBN Legal business name Saridakis, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Apr 24th, 2023 - about 3 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 1407850134 NPPES
Kentucky Other K130430 MEDICARE
Kentucky MEDICAID 7100356140 MEDICARE
Kentucky MEDICAID 3814598 MEDICARE

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