Individual
IMOIGELE P AISIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101233341
VA
207P00000X
Emergency Medicine Physician
046023
GA
207P00000X
Emergency Medicine Physician
23299
NH
207P00000X
Emergency Medicine Physician
MCS009935A
MA
207P00000X
Emergency Medicine Physician
N8162
TX
207Q00000X
Family Medicine Physician
0101233341
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
046023
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N8162
TX
2084A2900X
Neurocritical Care Physician
046023
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34143200
—
WI
05
—
5879680 541581185
—
VA
Enumeration date
01/31/2006
Last updated
12/04/2023
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