Provider / Organization | NPI | Date Certified |
---|---|---|
ATHENA CHATZIGIANNIDIS | 1952930257 | 2023-06-30 |
Athena Chatzigiannidis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952930257. Registration indicates Athena Chatzigiannidis is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Athena Chatzigiannidis DO |
Practice Office Address | 100 S BLISS AVE TAHLEQUAH, OK US |
Practice Office Telephone | 9184583100 |
Mailing Address | 100 S BLISS AVE TAHLEQUAH, OK 744642512 US |
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 7274
OK |