MEDICARE: DR. CHAD JUDE ALEMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	202K00000X	Phlebology Physician	056795	GA
2	207P00000X	Emergency Medicine Physician	056795	GA
3	2086S0129X	Vascular Surgery Physician	056795	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942204557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD JUDE ALEMAN MD

Provider Business Mailing Address
First Line	:	1455 LINCOLN PKWY E
Second Line	:	STE 315
City	:	ATLANTA
State	:	GA
Zip	:	30346-2209
Country	:	US
Telephone Number	:	404-777-1728
Fax Number	:	833-471-4352

Provider Business Practice Location Address
First Line	:	1455 LINCOLN PKWY E
Second Line	:	STE 315
City	:	ATLANTA
State	:	GA
Zip	:	30346-2209
Country	:	US
Telephone Number	:	404-777-1728
Fax Number	:	833-471-4352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/10/2023

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