Provider Demographics
NPI:1285844118
Name:YANNAKAKIS, GEORGE D (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:D
Last Name:YANNAKAKIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14615 THORNTON MILL RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS GLENCOE
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9634
Mailing Address - Country:US
Mailing Address - Phone:410-472-0975
Mailing Address - Fax:410-472-2641
Practice Address - Street 1:28 ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3909
Practice Address - Country:US
Practice Address - Phone:410-296-2680
Practice Address - Fax:410-472-2641
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00027222084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine