Provider Demographics
NPI:1801084660
Name:ARISTOTELOUS, GEORGINA (MD)
Entity type:Individual
Prefix:
First Name:GEORGINA
Middle Name:
Last Name:ARISTOTELOUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GEORGINA
Other - Middle Name:
Other - Last Name:NASR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:323-860-5200
Mailing Address - Fax:323-467-7119
Practice Address - Street 1:2829 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2413
Practice Address - Country:US
Practice Address - Phone:216-357-3131
Practice Address - Fax:216-357-3217
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35139993207RI0200X
PAMD456109207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine