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1063412567 NPI number — AARON R ALIZADEH M.D.

NPI Number: 1063412567
Health Care Provider/Practitioner: AARON R ALIZADEH M.D.

Information about “1063412567” NPI (AARON R ALIZADEH M.D.) exists in 1063412567 in HTML format HTML  |  1063412567 in plain Text format TXT  |  1063412567 in PDF (Portable Document Format) PDF  |  1063412567 in an XML format XML  formats.

NPI Number : 1063412567 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063412567",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALIZADEH",
    "FirstName": "AARON",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1835 SAVOY DR",
    "SecondLineMailingAddress": "SUITE 300",
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30341-1072",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-495-3396",
    "MailingAddressFaxNumber": "770-495-2307",
    "FirstLinePracticeLocationAddress": "2712 LAWRENCEVILLE HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30033-2512",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-496-5555",
    "PracticeLocationAddressFaxNumber": "770-939-2887",
    "EnumerationDate": "07/26/2005",
    "LastUpdateDate": "12/01/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RH0003X",
        "TaxonomyName": "Hematology & Oncology Physician",
        "LicenseNumber": "046027",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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