Provider Demographics
NPI:1275596561
Name:ALPERIN, HERBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:ALPERIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 PARAN PL NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-3712
Mailing Address - Country:US
Mailing Address - Phone:404-231-2310
Mailing Address - Fax:404-231-2344
Practice Address - Street 1:4410 PARAN PL NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-3712
Practice Address - Country:US
Practice Address - Phone:404-231-2310
Practice Address - Fax:404-231-2344
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-08
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008029208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000459709Medicaid
GA000459709Medicaid