Individual
JOHN G ANTONAKAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UVA HOSPITAL, LEE STREET, 2ND FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2283
(434) 982-0019
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101242954
VA
390200000X
Student in an Organized Health Care Education/Training Program
116015815
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386851244
—
VA
Enumeration date
05/17/2007
Last updated
10/10/2008
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