Individual
DR. ATHANASIUS DEMOSTHENES GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19735 GERMANTOWN RD, SUITE 240, GERMANTOWN, MD 20874-1215
(301) 916-4500
Mailing address
2807 SPARTAN RD, OLNEY, MD 20832-3029
(301) 570-3755
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0056274
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-01568
UNITED HEALTHCARE
MD
01
—
0G90AD
CAREFIRST BCBS
MD
01
—
483373
MAMSI MDIPA OPTIMUMCHOICE
MD
01
—
F911-0001
CAREFIRST BCBS
DC
Enumeration date
02/28/2007
Last updated
10/11/2007
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