Duralde, Xavier Ampuero

Duralde, Xavier Ampuero is an individual health care provider with primary practice located at 2045 Peachtree Rd Ne Suite 700, Atlanta GA 30309-1414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Duralde, Xavier Ampuero can be contacted via phone (404) 355-0743.

Contact Information

Primary practice address
2045 Peachtree Rd Ne Suite 700 Atlanta GA 30309-1414
Phone: (404) 355-0743
Fax: (404) 603-9887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036722 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036722 Georgia

Profile Details

NPI number 1114929189
LBN Legal business name Duralde, Xavier Ampuero
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 24th, 2010 - about 15 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 1114929189 NPPES
Georgia MEDICAID 00544585A

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