Provider Demographics
NPI:1326160078
Name:OSKOUEI, ARMIN VATANI (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMIN
Middle Name:VATANI
Last Name:OSKOUEI
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 1:11770 HAYNES BRIDGE RD
Mailing Address - Street 2:STE 205-354
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1966
Mailing Address - Country:US
Mailing Address - Phone:678-752-7246
Mailing Address - Fax:678-530-1042
Practice Address - Street 1:5730 GLENRIDGE DR
Practice Address - Street 2:SUITE 230
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-6141
Practice Address - Country:US
Practice Address - Phone:678-752-7246
Practice Address - Fax:678-530-1042
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA632712081P2900X
GA63721207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA63721OtherPHYSICIAN LICENSE