Provider Demographics
NPI:1336286038
Name:ATHANASSAKI, IOANNA D (MD)
Entity Type:Individual
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First Name:IOANNA
Middle Name:D
Last Name:ATHANASSAKI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2 E GREENWAY PLZ
Mailing Address - Street 2:SUITE 900
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046-0297
Mailing Address - Country:US
Mailing Address - Phone:713-798-1750
Mailing Address - Fax:713-798-1144
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2316
Practice Address - Country:US
Practice Address - Phone:832-822-3776
Practice Address - Fax:832-825-3903
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2011-04-29
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Provider Licenses
StateLicense IDTaxonomies
TXM50342080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB121679Medicare PIN