Athas, John M
Athas, John M is an individual health care provider with primary practice located at 325 5Th Ave Suite 45A, New York NY 10016-5038. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Athas, John M can be contacted via phone (212) 532-4590.Contact Information
Primary practice address
325 5Th Ave Suite 45A
New York NY 10016-5038
Phone: (212) 532-4590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD33578 | District of Columbia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD33578 | District of Columbia |
| Other Service Providers / Specialist | 174400000X | 241191 | New York |
Profile Details
| NPI number | 1205826609 |
|---|---|
| LBN Legal business name | Athas, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Mar 2nd, 2015 - about 9 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 | 1205826609 | NPPES |
| New York | MEDICAID | 02888351 |
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