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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205826609 NPPES
New York MEDICAID 02888351

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