Individual
DR. MICHAEL DEANE STAMATAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
11701 MILBERN DR, POTOMAC, MD 20854-3525
(301) 299-9424
(202) 782-7166
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
0101252133
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0037864
MD
Other
Enumeration date
01/18/2007
Last updated
08/26/2021
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