Provider Demographics
NPI:1609855337
Name:TALADRIZ, ARTURO (MD)
Entity Type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:
Last Name:TALADRIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARTURO
Other - Middle Name:TALADRIZ
Other - Last Name:PLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:
Practice Address - Street 1:2400 MT. ZION PARKWAY
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:770-603-3649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66011207P00000X
GA069648207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16094OtherBCBS
FL272724200Medicaid
FL16094OtherBCBS
FL272724200Medicaid
FL16094YMedicare ID - Type Unspecified