Individual
NICKOLAS THEOPHILOS AGATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. (IN MAY 2015)
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7890
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
87978
GA
208000000X
Pediatrics Physician
Primary
D0103043
MD
Other
Enumeration date
04/08/2015
Last updated
01/21/2026
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