Provider Demographics
NPI:1730818360
Name:KARATHANOS, ATHANASIOS (MD)
Entity type:Individual
Prefix:MR
First Name:ATHANASIOS
Middle Name:
Last Name:KARATHANOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79-01 BROADWAY , QUEENS ELMHURST HOSPITAL CENTER, DEPAR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:79-01 BROADWAY , QUEENS ELMHURST HOSPITAL CENTER, DEPAR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-3437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2023-03-06
Deactivation Date:2023-03-03
Deactivation Code:
Reactivation Date:2023-03-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program