Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 63271 | GA |
NPI | 1326160078 |
---|---|
Provider Name | Dr. Armin Vatani Oskouei |
First Address | Alpharetta, GA 30009-1966 |
Second Address | Atlanta, GA 30328-6141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 27/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
63721 | PHYSICIAN LICENSE (01) | GA |