Provider Demographics
NPI:1285963793
Name:GIANNAKIDIS, DIMITRIOS (MD)
Entity type:Individual
Prefix:DR
First Name:DIMITRIOS
Middle Name:
Last Name:GIANNAKIDIS
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 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:156-005-7604
Mailing Address - Fax:415-369-1208
Practice Address - Street 1:1100 VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6978
Practice Address - Country:US
Practice Address - Phone:415-600-5760
Practice Address - Fax:415-369-1208
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10150842084N0400X, 2084V0102X
VA01012761752084N0400X
WI637782084N0400X
MN573992084N0400X, 2084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD10546OtherMEDICAL LICENSE
DCMD041347OtherMEDICAL LICENSE
WI63778-20OtherMEDICAL LICENSE
MN57399OtherMEDICAL LICENSE
CAC171628OtherSTATE MEDICAL LICENSE