MEDICARE: DR. AJAY K NOOKA M.D., M.P.H.,F.A.C.P

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	207RH0003X	Hematology & Oncology Physician	063380	GA
2	207R00000X	Internal Medicine Physician	63380	GA
3	207RX0202X	Medical Oncology Physician	63380	GA

General Provider Information

NPI Number	:	1801000260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AJAY K NOOKA M.D., M.P.H.,F.A.C.P

Provider Business Mailing Address
First Line	:	1365B CLIFTON RD NE
Second Line	:	B5115
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-0655
Fax Number	:	404-778-5530

Provider Business Practice Location Address
First Line	:	1365C CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-0655
Fax Number	:	404-778-5530

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	06/02/2026

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