Provider Demographics
NPI:1518060656
Name:GIANNAKOS, GEORGE PANOS JR (NP)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:PANOS
Last Name:GIANNAKOS
Suffix:JR
Gender:M
Credentials:NP
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Mailing Address - Street 1:50 IRVING ST NW
Mailing Address - Street 2:WASHINGTON DC VAMC OCC HEALTH CLINIC 11-H
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20422-0001
Mailing Address - Country:US
Mailing Address - Phone:202-745-8254
Mailing Address - Fax:202-745-8257
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:WASHINGTON DC VAMC OCC HEALTH CLINIC 11-H
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8254
Practice Address - Fax:202-745-8257
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDR163334363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health