Individual
JOHN DAVID PROLOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON ROAD NE, SUITE D111, ATLANTA, GA 30322
(404) 712-7033
(404) 712-7970
Mailing address
1364 CLIFTON RD NE, SUITE AG05, ATLANTA, GA 30322
(404) 712-7033
(404) 712-7970
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
72294
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230982
UNISON
OH
01
—
000000516404
ANTHEM
OH
05
—
2691823
—
OH
01
—
389288
WELLCARE
OH
01
—
752765
BUCKEYE
OH
01
—
9808106
AETNA
OH
01
—
P00420609
RAILROAD MEDICARE
OH
Enumeration date
06/01/2006
Last updated
04/28/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us