Individual
ATHENA ECONOMIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11002 VEIRS MILL RD, 414, WHEATON, MD 20902-2574
(301) 962-5800
(301) 962-9585
Mailing address
11002 VEIRS MILL RD, 414, WHEATON, MD 20902-2574
(301) 962-5800
(301) 962-9585
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0052238
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-00195
UNITED HEALTHCARE
MD
01
—
200445
KAISER
MD
01
—
5817077
AETNA
MD
01
—
62249
MAMSI
MD
Enumeration date
08/08/2006
Last updated
10/23/2007
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