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Pratheek Simon Kakkasseril, MD
Vascular Surgery Physician in Youngstown, Ohio
NPI 1609195643

Pratheek Simon Kakkasseril is a Vascular Surgery Physician based in Youngstown, OH and is specialized in Vascular Surgery. Pratheek Simon Kakkasseril practices in Youngstown, OH and has the professional credentials of MD. The NPI Number for Pratheek Simon Kakkasseril is 1609195643 and holds a License No. 35.120203 (Ohio).

The current practice location address for Pratheek Simon Kakkasseril is 1001 Belmont Ave, Youngstown, OH and can be reached out via phone at 330-747-1106 and via fax at 330-747-0491.

Location: 1001 Belmont Ave, Youngstown, OH, 44504-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609195643
Provider Name
Pratheek Simon Kakkasseril
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 Belmont Ave, Youngstown, OH, 44504-1003
Phone Number
330-747-1106
Fax Number
330-747-0491
Provider Enumeration Date
05/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0078791 05 OH
H152570 01 OH MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1001 Belmont Ave
City
Youngstown
State
Ohio
Zip
44504-1003
Phone Number
330-747-1106
Fax Number
330-747-0491
person
Provider Business Mailing Address Details
Address
1001 Belmont Ave
City
Youngstown
State
Ohio
Zip
44504-1003
Phone Number
330-747-1106
Fax Number
330-747-0491
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
35.120203 (Ohio)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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