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NPI Code Detail

MEDICARE: GEORGE K CYRIAC MD

MEDICARE:   GEORGE K CYRIAC  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianR3A41MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2300039964OTHERMOMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063400943
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE K CYRIAC MD
Provider Business Mailing Address
First Line : 201 E MONROE ST
Second Line : SUITE 202
City : MEXICO
State : MO
Zip : 65265-2852
Country : US
Telephone Number : 573-581-5850
Fax Number : 573-581-8185
Provider Business Practice Location Address
First Line : 620 E MONROE ST
Second Line :
City : MEXICO
State : MO
Zip : 65265-2919
Country : US
Telephone Number : 573-581-5850
Fax Number : 573-581-8185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 01/16/2012

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Directions to “ GEORGE K CYRIAC MD” Practice Location

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