Healthcare Provider Details

I. General information

NPI: 1407832082
Provider Name (Legal Business Name): GEORGE J GIANAKOPOULOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 01/05/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 OLENTANGY RIVER RD SUITE 3080
COLUMBUS OH
43214-3912
US

IV. Provider business mailing address

5400 FRANTZ RD STE. 250
DUBLIN OH
43016-4144
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-5200
  • Fax: 614-788-5210
Mailing address:
  • Phone: 614-533-6497
  • Fax: 614-544-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35-05-4445
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: