Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 046027 | GA |
NPI | 1063412567 |
---|---|
Provider Name | Dr. Aaron R Alizadeh |
First Address | Atlanta, GA 30341-1072 |
Second Address | Decatur, GA 30033-2512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 01/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
835912164D | (05) | GA |
H95382 | (02) | GA |