Healthcare Provider Details

I. General information

NPI: 1124262860
Provider Name (Legal Business Name): AALOK BIPIN TURAKHIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1258 MANSFIELD AVE NE
ATLANTA GA
30307-1529
US

IV. Provider business mailing address

2125 OAK GROVE RD STE 200
WALNUT CREEK CA
94598-2520
US

V. Phone/Fax

Practice location:
  • Phone: 318-617-3537
  • Fax:
Mailing address:
  • Phone: 318-617-3537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA129859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: