Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ATHANASIOS KOSTANDINOS MANOLE, MD
Active Sole ProprietorInterventional Vascular Surgery · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1780002220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2014 (12.051749435598 yrs)
- Last Updated
- Feb 17, 2021
- Licenses
-
MD20150915 (NM)MD2015-0915 (NM)MD2015-0915 (NM)MD2015-0915 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1540 JUAN TABO BLVD NE STE AALBUQUERQUE, NM, 871124460Browse NM providers · Browse ZIP 87112
- Phone
- 5053190231
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Public Health & General Preventive Medicine
- Additional Specialty
- Occupational Medicine
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD POON | M.D. | 1770587115 |
| DR. DIEGO J GONZALEZ | M.D. | 1194715938 |
| DR. CRAIG STEPHEN NAIRN | M.D. | 1669495834 |
| MICHAEL F MALIZZO | MD | 1538182647 |
| MR. KYLE I SCHOENBERGER | NP | 1023134863 |
| DR. REUEL JAKE MEASOM | MD | 1184156630 |
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.