Jaliu, Bogdan Cristian

Jaliu, Bogdan Cristian is an individual health care provider with primary practice located at 2142 W Broad St Bldg 100 Ste 200, Athens GA 30606-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jaliu, Bogdan Cristian can be contacted via phone (706) 548-6881.

Contact Information

Primary practice address
2142 W Broad St Bldg 100 Ste 200 Athens GA 30606-3506
Fax: (706) 546-0821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 65011 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 65011 Georgia

Profile Details

NPI number 1376747881
LBN Legal business name Jaliu, Bogdan Cristian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated May 16th, 2012 - about 13 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 1376747881 NPPES
Georgia MEDICAID 003106340A

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