Individual
ATHANASIOS ANASTASIOS MIHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 KEARNY VILLA RD, SAN DIEGO, CA 92123-1578
(858) 279-1223
Mailing address
8822 POLANCO ST, SAN DIEGO, CA 92129-3390
(858) 538-5831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A68122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A681221
—
CA
Enumeration date
07/09/2006
Last updated
07/08/2007
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