Provider Demographics
NPI:1528605987
Name:ATHELAS INC
Entity Type:Organization
Organization Name:ATHELAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANAY
Authorized Official - Middle Name:
Authorized Official - Last Name:TANDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-603-1954
Mailing Address - Street 1:67 E EVELYN AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1529
Mailing Address - Country:US
Mailing Address - Phone:408-896-2309
Mailing Address - Fax:
Practice Address - Street 1:67 E EVELYN AVE STE 5
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1529
Practice Address - Country:US
Practice Address - Phone:408-896-2309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center