Individual
DR. ATHANASIUS DEMOSTHENES GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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