Provider Demographics
NPI:1699091587
Name:KAADO, GEORGES (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGES
Middle Name:
Last Name:KAADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FOUAD GEORGES
Other - Middle Name:KAADO
Other - Last Name:MOAWAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1860 LASKIN ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-788-4508
Mailing Address - Fax:757-531-9410
Practice Address - Street 1:1860 LASKIN ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-788-4508
Practice Address - Fax:757-531-9410
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT197164207Q00000X
VA0101253628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine