Provider Demographics
NPI:1346202942
Name:ARONOFF, RICHARD C (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:ARONOFF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 CIRCLE 75 PKWY SE
Mailing Address - Street 2:STE. 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3035
Mailing Address - Country:US
Mailing Address - Phone:678-426-2171
Mailing Address - Fax:404-446-1957
Practice Address - Street 1:771 OLD NORCROSS RD
Practice Address - Street 2:SUITE 355
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4386
Practice Address - Country:US
Practice Address - Phone:770-963-5161
Practice Address - Fax:770-513-3916
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPOD000909213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU73377Medicare UPIN
GA202I488300Medicare PIN
GA480033073OtherRAILROAD MEDICARE
GACN7503OtherRAILROAD MEDICARE
GAU73377Medicare UPIN
GAGRP655Medicare PIN
GA0430650010Medicare NSC
GA48SCCJDMedicare PIN