Healthcare Provider Details

I. General information

NPI: 1528160827
Provider Name (Legal Business Name): GINA M PAPADAKOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 PRESTON EXECUTIVE DR STE 100G
CARY NC
27513-8488
US

IV. Provider business mailing address

40 SHUMAN BLVD SUITE 275
NAPERVILLE IL
60563-8446
US

V. Phone/Fax

Practice location:
  • Phone: 919-275-2750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036111254
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2021-02405
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: