Individual
DR. EMANUAL MICHAEL MAVERAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 C ST, STE 100, SACRAMENTO, CA 95816-3300
(916) 734-6371
(916) 734-6793
Mailing address
2416 50TH ST, SACRAMENTO, CA 95817-1503
(916) 734-6371
(916) 734-6793
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A91555
CA
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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