Provider Demographics
NPI:1922623776
Name:GEORGIOU, MICHALIS (MD, PHD)
Entity Type:Individual
Prefix:MR
First Name:MICHALIS
Middle Name:
Last Name:GEORGIOU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UAMS 4301 W MARKHAM #523
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202
Mailing Address - Country:US
Mailing Address - Phone:501-686-8294
Mailing Address - Fax:501-686-7037
Practice Address - Street 1:UAMS 4301 W MARKHAM #523
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202
Practice Address - Country:US
Practice Address - Phone:501-686-7037
Practice Address - Fax:501-686-7037
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program