Individual provider · NPI-1

Alexander Patrick Athanase, MD

Family Medicine · Norfolk, VA

NPI number1831839539
StatusActive
Last updated in NPPESAug 21, 2025

Details

NPI
1831839539
Entity type
Individual (NPI-1)
Name
Mr. Alexander Patrick Athanase
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 30, 2022
Certification date
Aug 21, 2025
Last updated
Aug 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101283706VAYes
207Q00000X Family Medicine57.253484OH

Practice location

155 Kingsley Ln Ste 400
Norfolk, VA 23505-4629

Phone 757-278-2240

Mailing address

2031 Belmont Ave
Youngstown, OH 44505-2401

Phone 330-480-3605

Other practice locations

1053 Belmont Ave
Youngstown, OH 44504-1007

Phone 330-480-3605

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