NPI Code Details Logo

NPI 1205895505

NPI 1205895505 : JOSE ARJONA MD : ATLANTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205895505
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOSE ARJONA MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/23/2006
-----------------------------------------------------
    Last Update Date     |    02/20/2014
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3520 PIEDMONT RD NE STE 250 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30305-1609
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-870-2802
-----------------------------------------------------
    Fax                  |    404-419-6623
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3520 PIEDMONT RD NE STE 250 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30305-1609
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-870-2802
-----------------------------------------------------
    Fax                  |    404-419-6623
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    143119
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    ME47523
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    056085
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    036113237
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    01060252A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    39376
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    223954
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    009500497
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    25MA07943000
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    86243
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    MD425849
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    J5689
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #13
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    0101238057
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.