Healthcare Provider Details

I. General information

NPI: 1295198554
Provider Name (Legal Business Name): ASKA ARNAUTOVIC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2016
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 PEACHTREE DUNWOODY RD
ATLANTA GA
30342-1764
US

IV. Provider business mailing address

110 IRVING ST NW DEPT OF SURGERY
WASHINGTON DC
20010-3017
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-6880
  • Fax:
Mailing address:
  • Phone: 202-877-3536
  • Fax: 202-877-3699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number104395
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: