Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 059015 | GA |
N | 207K00000X | Allergist & Immunologist | 35.084875 | OH |
N | 208000000X | Pediatrician | 059015 | GA |
N | 208000000X | Pediatrician | 35.084875 | OH |
N | 2080P0201X | Pediatric Allergist | 35.084875 | OH |
NPI | 1831129261 |
---|---|
Provider Name | Luqman Seidu |
First Address | Atlanta, GA 30342-5000 |
Second Address | Atlanta, GA 30342-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 29/03/2016 |