Provider Demographics
NPI:1922024116
Name:ATANAS, MERI (MD)
Entity Type:Individual
Prefix:
First Name:MERI
Middle Name:
Last Name:ATANAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MERI
Other - Middle Name:
Other - Last Name:SORCI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1425 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3001
Mailing Address - Country:US
Mailing Address - Phone:585-922-4031
Mailing Address - Fax:585-922-3920
Practice Address - Street 1:1425 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3001
Practice Address - Country:US
Practice Address - Phone:585-922-4031
Practice Address - Fax:585-922-3920
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1750802085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E90475Medicare UPIN