Manole, Athanasios Kostandinos

Manole, Athanasios Kostandinos is an sole proprietor health care provider with primary practice located at 1540 Juan Tabo Blvd Ne Ste A , Albuquerque NM 87112-4460. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Manole, Athanasios Kostandinos can be contacted via phone (505) 319-0231.

Contact Information

Primary practice address
1540 Juan Tabo Blvd Ne Ste A Albuquerque NM 87112-4460
Phone: (505) 319-0231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X MD20150915 New Mexico
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X MD2015-0915 New Mexico
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD2015-0915 New Mexico
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD2015-0915 New Mexico

Profile Details

NPI number 1780002220
LBN Legal business name Manole, Athanasios Kostandinos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2014
Last updated Feb 17th, 2021 - about 5 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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