Individual
GEORGE SAKOULAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(619) 446-1727
Mailing address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8091
(858) 616-8090
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
225011
NY
207RI0200X
Infectious Disease Physician
Primary
A101504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000092881
GHI HMO
NY
05
—
02280275
—
NY
01
—
1530027
AETNA HMO
NY
01
—
225011
CONNECTICARE
NY
01
—
317AF1
EMPIRE BCBS
NY
01
—
391737
MVP
NY
01
—
5699722
GHI PPO
NY
01
—
7480288
AETNA PPO
NY
01
—
P00290798
RAILROAD MEDICARE
NY
01
—
SG5011
ATLANTIS
NY
Enumeration date
07/25/2006
Last updated
08/29/2013
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