Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 54120 | GA |
N | 207RP1001X | Pulmonary Disease | 054120 | GA |
NPI | 1023067824 |
---|---|
Provider Name | Asif A Saberi |
First Address | Marietta, GA 30060-1155 |
Second Address | Marietta, GA 30060-1155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 01/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0300884350C | (05) | GA |
G53431 | (02) | GA |
P00646902 | MEDICARE RAIL ROAD (01) | GA |