Provider Demographics
NPI:1225158116
Name:ALLERGY & ASTHMA OF ATLANTA, LLC
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA OF ATLANTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUQMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-289-1783
Mailing Address - Street 1:3340 PEACHTREE RD NE
Mailing Address - Street 2:TOWER PLACE 100, SUITE 600
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3340 PEACHTREE RD NE
Practice Address - Street 2:TOWER PLACE 100, SUITE 600
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1000
Practice Address - Country:US
Practice Address - Phone:404-266-9876
Practice Address - Fax:404-266-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059015207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty