Individual
DR. GEORGE KASOTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4528
(571) 472-4670
Mailing address
DUKE UNIVERSITY MEDICAL CENTER DUMC 2837 2301 ERWIN RD, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
243298
MA
2086S0102X
Surgical Critical Care Physician
Primary
0101278297
VA
2086S0102X
Surgical Critical Care Physician
243298
MA
2086S0127X
Trauma Surgery Physician
2018-02184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088684A
—
MA
Enumeration date
04/16/2007
Last updated
03/21/2024
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