Provider Demographics
NPI:1003840026
Name:ESTEVES, FABIO P (MD)
Entity Type:Individual
Prefix:DR
First Name:FABIO
Middle Name:P
Last Name:ESTEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1143 VILLA DR NE APT 1
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2701
Mailing Address - Country:US
Mailing Address - Phone:404-712-4843
Mailing Address - Fax:404-712-7435
Practice Address - Street 1:1364 CLIFTON RD NE RADIOLOGY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-778-5586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA520832085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAL24951Medicare UPIN