Provider Demographics
NPI:1306185277
Name:KARALIS, GEORGE DEMETRIUS (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:DEMETRIUS
Last Name:KARALIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 EL CAMINO DEL MAR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1114
Mailing Address - Country:US
Mailing Address - Phone:415-668-6634
Mailing Address - Fax:415-387-6118
Practice Address - Street 1:235 EL CAMINO DEL MAR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1114
Practice Address - Country:US
Practice Address - Phone:415-668-6634
Practice Address - Fax:415-387-6118
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA244122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry