Individual
DR. IOANA R. BONTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 JOHNSON FERRY RD STE 600, ATLANTA, GA 30342-1739
(404) 256-4777
(404) 256-5515
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(404) 256-4777
(404) 256-5515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
063295
GA
207R00000X
Internal Medicine Physician
125052100
IL
207RH0003X
Hematology & Oncology Physician
Primary
63295
GA
208M00000X
Hospitalist Physician
063295
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158217D
—
GA
01
—
003158217E
MEDICAID
GA
01
—
G12459A
MEDICARE PTAN
GA
Enumeration date
11/13/2008
Last updated
08/18/2020
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