Organization
ATHANASIUS D. GEORGE, M.D., LLC
Active
Parent organization
ATHANASIUS D. GEORGE, M.D., LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHANASIUS D. GEORGE, M.D., LLC
Authorized official
ATHANASIUS DEMOSTHENES GEORGE M.D. (OWNER/ SOLE MEMBER)
(301) 916-4500
Entity
Organization
Contact information
Practice address
19735 GERMANTOWN RD, SUITE 240, GERMANTOWN, MD 20874-1214
(301) 916-4500
(301) 916-6131
Mailing address
19735 GERMANTOWN RD, SUITE 240, GERMANTOWN, MD 20874-1214
(301) 916-4500
(301) 916-6131
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0056274
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801568
UNITED HEALTHCARE
MD
01
—
483373
MAMSI MD IPA OPT CHOICE
MD
01
—
61704301
CAREFIRST BCBS
MD
01
—
F911-0001
CAREFIRST BCBS
DC
Enumeration date
10/25/2007
Last updated
10/25/2007
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