Individual
DR. PETER ALI SEIRAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 10TH AVE, SUITE 225, COLUMBUS, GA 31901-3700
(706) 320-8750
(706) 320-8770
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 320-8660
(706) 320-8770
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
069913
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME80733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162138
WELLCARE
FL
01
—
1865828
AETNA FL
FL
01
—
2610659
CIGNA
FL
01
—
35676
BCBS FL
FL
01
—
613325100
FEDERAL BLACK LUNG
—
01
—
7435144
AETNA PROVIDER PIN #
AL
01
—
PRO6612
QUALITY HEALTH PLAN
FL
Enumeration date
08/09/2005
Last updated
10/19/2015
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