Mardiat, John George
Mardiat, John George is an individual health care provider with primary practice located at 316 W Junipero St , Santa Barbara CA 93105-4305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mardiat, John George can be contacted via phone (805) 448-5825.Contact Information
Primary practice address
316 W Junipero St
Santa Barbara CA 93105-4305
Phone: (805) 448-5825
Fax: (805) 569-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G44393 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G44393 | California |
Profile Details
| NPI number | 1801896675 |
|---|---|
| LBN Legal business name | Mardiat, John George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jan 25th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801896675 | NPPES |
| California | MEDICAID | 00G443930 |
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