Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SEAN ANTONIS, DO
ActiveDR. MICHAEL SEAN ANTONIS, DO is a Sports Medicine (EM) healthcare provider located in ASHBURN, Virginia. NPI 1760429476 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · ASHBURN, VA
Registration Details
- NPI Number
- 1760429476
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2006 (20.182335432398 yrs)
- Last Updated
- Apr 13, 2023
- Licenses
-
DO034203 (DC)0102204828 (VA)
Practice Information
- Address
-
20041 RIVERSIDE COMMONS PLAZAASHBURN, VA, 20147Browse VA providers · Browse ZIP 20147
- Phone
- 7034660447
- Fax
- 7038105313
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.