Provider Demographics
NPI:1184694549
Name:DAVLIAKOS, GEORGE P (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:P
Last Name:DAVLIAKOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:127 ONEIDA VALLEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2239
Mailing Address - Country:US
Mailing Address - Phone:724-431-4328
Mailing Address - Fax:742-443-1228
Practice Address - Street 1:127 ONEIDA VALLEY RD STE 202
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2239
Practice Address - Country:US
Practice Address - Phone:724-282-4370
Practice Address - Fax:724-431-2288
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040771E208G00000X
PA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013043OtherGATEWAY HEALTH PLAN
PA101582OtherUPMC HEALTH PLANS
PA171016601OtherBEST HEALTH
PAF82137OtherHEALTH AMERICA/ASSURANCE
PA66163OtherTHREE RIVERS HEALTH PLAN
PA1493051010003Medicaid
PA171016601OtherINTERGROUP
PA20028746OtherUNITED HEALTHCARE
PA474760OtherUS HEALTHCARE
PA050255OtherHIGHMARK/KEYSTONE
PA0014930510003Medicaid
PA020028746OtherMEDICARE RAILROAD
PA277005OtherFEDERAL BLACK LUNG
PA0014930510003Medicaid
PAF82137OtherHEALTH AMERICA/ASSURANCE