Kasotakis, George
Kasotakis, George is an individual health care provider with primary practice located at 8260 Willow Oaks Corporate Dr Ste 600 , Fairfax VA 22031-4528. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Kasotakis, George can be contacted via phone (571) 472-4670.Contact Information
Primary practice address
8260 Willow Oaks Corporate Dr Ste 600
Fairfax VA 22031-4528
Phone: (571) 472-4670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 243298 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 243298 | Massachusetts |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 2018-02184 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 0101278297 | Virginia |
Profile Details
| NPI number | 1265657464 |
|---|---|
| LBN Legal business name | Kasotakis, George |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Mar 21st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265657464 | NPPES |
| Massachusetts | MEDICAID | 110088684A |
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