Provider Demographics
NPI:1730140088
Name:KARAGEORGE, ALEXIS G (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:G
Last Name:KARAGEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10325 CHAMPION FARMS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6129
Mailing Address - Country:US
Mailing Address - Phone:502-618-3535
Mailing Address - Fax:502-618-3537
Practice Address - Street 1:10325 CHAMPION FARMS DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6129
Practice Address - Country:US
Practice Address - Phone:502-618-3535
Practice Address - Fax:502-618-3537
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000739238OtherANTHEM
KY0143900OtherCIGNA
KY04-02130OtherUNITED HEALTH CARE
KY129212OtherSIHO
KY129212OtherSIHO
KY0143900OtherCIGNA