Irlandez, Diosdado M

Irlandez, Diosdado M is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 350, Marietta GA 30060-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Irlandez, Diosdado M can be contacted via phone (770) 424-6893.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 350 Marietta GA 30060-1155
Phone: (770) 424-6893
Fax: (770) 528-9938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 54750 Georgia

Profile Details

NPI number 1386613339
LBN Legal business name Irlandez, Diosdado M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 2nd, 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 1386613339 NPPES
Georgia MEDICAID 167157268F
Georgia MEDICAID 167157268H
Georgia MEDICAID 167157268I
Georgia MEDICAID 167157268J
Georgia MEDICAID 167157268G

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