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Contact Information

GEORGE P TAVOULAREAS, DO
7402 HOLLISTER AVE
SANTA BARBARA, CA93117-2583
 Phone: 805-562-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for GEORGE P TAVOULAREAS · (Male)

NPI # 1427058858
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/28/2005
Last updated 12/21/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A18544
  • CT License # 67106
  • IL License # 036154523
  • IN License # 02006261A
  • MI License # 5101025740
  • NJ License # 25MB10956800
  • NY License # 200566
  • WI License # 73913-21
  • NY Medicaid 01663767
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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