MEDICARE: DR. ABDELRAHMAN MONTASER ANTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0120X	Cornea and External Diseases Specialist Physician	0101288003	VA
2	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician	0101288003	VA
3	207W00000X	Ophthalmology Physician	0101288003	VA

General Provider Information

NPI Number	:	1023888252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDELRAHMAN MONTASER ANTER MD

Provider Business Mailing Address
First Line	:	PO BOX 780125
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-0125
Country	:	US
Telephone Number	:	804-922-4844
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE STE 4500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	305-684-9762
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	06/24/2026

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