Individual
DR. DIOSDADO M IRLANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
54750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167157268F
—
GA
05
—
167157268G
—
GA
05
—
167157268H
—
GA
05
—
167157268I
—
GA
05
—
167157268J
—
GA
Enumeration date
03/14/2006
Last updated
12/02/2019
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