Delportillo, Madeleine

Delportillo, Madeleine is an individual health care provider with primary practice located at 2701 North Decatur Rd , Decatur GA 30034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Delportillo, Madeleine can be contacted via phone (404) 501-1843.

Contact Information

Primary practice address
2701 North Decatur Rd Decatur GA 30034
Phone: (404) 501-1843
Fax: (404) 501-1837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 021672 Georgia

Profile Details

NPI number 1174609390
LBN Legal business name Delportillo, Madeleine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Feb 14th, 2019 - about 5 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 1174609390 NPPES
Georgia MEDICAID 000244703AG
Georgia MEDICAID 000244703AH
Georgia Other 06581141

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