Mardiat, John George

Mardiat, John George is an individual health care provider with primary practice located at 316 W Junipero St , Santa Barbara CA 93105-4305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mardiat, John George can be contacted via phone (805) 448-5825.

Contact Information

Primary practice address
316 W Junipero St Santa Barbara CA 93105-4305
Phone: (805) 448-5825
Fax: (805) 569-0079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G44393 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G44393 California

Profile Details

NPI number 1801896675
LBN Legal business name Mardiat, John George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jan 25th, 2012 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801896675 NPPES
California MEDICAID 00G443930

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