Provider Demographics
NPI:1467676718
Name:YALIF, ASAF (MD)
Entity Type:Individual
Prefix:
First Name:ASAF
Middle Name:
Last Name:YALIF
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 1:3330 PRESTON RIDGE RD STE 340
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4509
Mailing Address - Country:US
Mailing Address - Phone:770-329-3307
Mailing Address - Fax:
Practice Address - Street 1:3330 PRESTON RIDGE RD STE 340
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:404-822-4402
Practice Address - Fax:888-214-4416
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232431208600000X
GA0613792086S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I240012Medicare PIN