IndividualActive
George Gantsoudes, MD
NPI 1013173004 · Pediatric Orthopaedic Surgery Physician · Vienna, VA
Provider details
- NPI number
- 1013173004
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101257854 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
410 Maple Ave W Ste 5
Vienna, VA 22180-4224
Phone: (646) 240-9444
Approximate (ZIP-level) locationGet directions
Mailing address
3023 Hamaker Ct Ste 500
Fairfax, VA 22031-2241
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.