Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 056424 | GA |
NPI | 1124030390 |
---|---|
Provider Name | Keith Delman |
First Address | Atlanta, GA 30322-1013 |
Second Address | Atlanta, GA 30322-1013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2487235 | UNITED HEALTHCARE (01) | GA |
3985263 | US HEALTHCARE (01) | GA |
930175 | BCBS (01) | GA |
P00253506 | RAILROAD MEDICARE (01) | GA |