| Provider / Organization | NPI | Date Certified |
|---|---|---|
| IRAKLIS S GEROGIANNIS | 1861583114 | 2024-11-08 |
Iraklis S. Gerogiannis MD [M] graduated in 1989 and primarily specializes in Thoracic Surgery.
Iraklis S Gerogiannis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861583114. Registration indicates Iraklis S Gerogiannis is a provider of services with a specialization in Thoracic Surgery (Cardiothoracic Vascular Surgery) (Allopathic & Osteopathic Physicians, Thoracic Surgery (Cardiothoracic Vascular Surgery),) (All Other Specialties & Provider Types, ) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, Allopathic & Osteopathic Physicians) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, ) (Allopathic & Osteopathic Physicians, Thoracic Surgery (Cardiothoracic Vascular Surgery),) (All Other Specialties & Provider Types, ) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, Allopathic & Osteopathic Physicians)
| PECOS ID | 1153210687 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Iraklis S Gerogiannis MD |
| Practice Office Address | 300 HANOVER ST SUITE 2A FALL RIVER, MA US |
| Practice Office Telephone | 5089737774 |
| Practice Office Fax | 5089737724 |
| Mailing Address | 200 MILL RD STE 180 FAIRHAVEN, MA 027195252 US |
| Business Telephone | 5089732000 |
| Business Fax | 5089732001 |
| Southcoast Health Epic Direct Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery), All Other Specialties & Provider Types Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians | MD15652
RI |
| 208G00000X PRIMARY | Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery), All Other Specialties & Provider Types Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians | 161025
MA |
| 110061754A | MEDICAID | MA |