Asrael, David

Asrael, David is an individual health care provider with primary practice located at 11 Upper Riverdale Rd Sw , Riverdale GA 30274-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Asrael, David can be contacted via phone (770) 994-9326.

Contact Information

Primary practice address
11 Upper Riverdale Rd Sw Riverdale GA 30274-2615
Fax: (770) 994-4747
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 051291 Georgia

Profile Details

NPI number 1386694511
LBN Legal business name Asrael, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386694511 NPPES
Georgia MEDICAID 000955963H

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