Rodriguez, Fred Henry
Rodriguez, Fred Henry is an individual health care provider with primary practice located at 1405 Clifton Rd Ne , Atlanta GA 30322-5510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Rodriguez, Fred Henry can be contacted via phone (404) 256-2593.Contact Information
Primary practice address
1405 Clifton Rd Ne
Atlanta GA 30322-5510
Phone: (404) 256-2593
Fax: (770) 488-9408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 068291 | Georgia |
Profile Details
| NPI number | 1235336538 |
|---|---|
| LBN Legal business name | Rodriguez, Fred Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Jan 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235336538 | NPPES |
| Louisiana | MEDICAID | 1078373 | |
| Louisiana | MEDICAID | 220263201 |
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