Individual
IOANNIS KEHAGIAS-ATHANASSOPULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 CARTER DR, STE 101, MIDDLETOWN, DE 19709-5854
(302) 378-5494
(302) 378-1760
Mailing address
222 CARTER DR, STE 101, MIDDLETOWN, DE 19709-5854
(302) 378-5494
(302) 378-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10006722
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080195041
RAILROAD MEDICARE
DE
01
—
1000021645
DPCI
DE
05
—
1000021645
—
DE
01
—
1460660
AMERIHEALTH PPO
DE
01
—
2102289
MAMSI, ALLIANCE,OPT CHOIC
DE
01
—
2145623000
AMERIHEALTH HMO
DE
01
—
2990862
AETNA HMO
DE
01
—
470892742
COVENTRY
DE
01
—
7648389
AETNA PPO
DE
01
—
H77145
BCBS DE
DE
Enumeration date
10/25/2006
Last updated
02/17/2023
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