MEDICARE: DR. JOSE ARJONA 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	2085R0202X	Diagnostic Radiology Physician	143119	CT
2	2085R0202X	Diagnostic Radiology Physician	ME47523	FL
3	2085R0202X	Diagnostic Radiology Physician	056085	GA
4	2085R0202X	Diagnostic Radiology Physician	036113237	IL
5	2085R0202X	Diagnostic Radiology Physician	01060252A	IN
6	2085R0202X	Diagnostic Radiology Physician	39376	KY
7	2085R0202X	Diagnostic Radiology Physician	223954	MA
8	2085R0202X	Diagnostic Radiology Physician	009500497	NC
9	2085R0202X	Diagnostic Radiology Physician	25MA07943000	NJ
10	2085R0202X	Diagnostic Radiology Physician	86243	OH
11	2085R0202X	Diagnostic Radiology Physician	MD425849	PA
12	2085R0202X	Diagnostic Radiology Physician	J5689	TX
13	2085R0202X	Diagnostic Radiology Physician	0101238057	VA

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	:	1205895505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE ARJONA MD

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

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

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	02/20/2014

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Directions to “ DR. JOSE ARJONA MD” Practice Location

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