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Contact Information

PRODROMOS A VERVERELI, MD
400 ELK CHASE CT
TAYLORSVILLE, KY40071-7260
 Phone: 610-390-8228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRODROMOS A VERVERELI · (Male)

NPI Number 1508862806
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2005
Last updated 07/31/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 55069
  • PA License # MD044774L
  • PA Medicaid 0015347530003
Hospital affiliation(s)
  • HAZLETON GENERAL HOSPITAL - (Acute Care)
    700 EAST BROAD STREET
    HAZLETON, PA 18201
  • LEHIGH VALLEY HOSPITAL - (Acute Care)
    1200 SOUTH CEDAR CREST BOULVARD
    ALLENTOWN, PA 18105
  • ST LUKE'S HOSPITAL BETHLEHEM - (Acute Care)
    801 OSTRUM STREET
    BETHLEHEM, PA 18015
  • SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH - (Acute Care)
    1503 CEDAR CREST BOULEVARD
    ALLENTOWN, PA 18104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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