MEDICARE: GEORGE KARTALIAN, JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	0101236753	VA

General Provider Information

NPI Number	:	1366437493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE KARTALIAN, JR. M.D.

Provider Business Mailing Address
First Line	:	1860 TOWN CENTER DR
Second Line	:	SUITE 300
City	:	RESTON
State	:	VA
Zip	:	20190-5896
Country	:	US
Telephone Number	:	703-435-6604
Fax Number	:	703-787-6575

Provider Business Practice Location Address
First Line	:	1860 TOWN CENTER DR
Second Line	:	SUITE 300
City	:	RESTON
State	:	VA
Zip	:	20190-5896
Country	:	US
Telephone Number	:	703-435-6604
Fax Number	:	703-787-6575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	07/31/2008

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