Provider Demographics
NPI:1619397197
Name:ALIU, RILIWANU (MD)
Entity Type:Individual
Prefix:
First Name:RILIWANU
Middle Name:
Last Name:ALIU
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 1:3589 BARTOWS BRG
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-9001
Mailing Address - Country:US
Mailing Address - Phone:706-842-4398
Mailing Address - Fax:706-723-8671
Practice Address - Street 1:5450 WHITTLESEY BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-2139
Practice Address - Country:US
Practice Address - Phone:706-842-4398
Practice Address - Fax:706-723-8671
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI72087207Q00000X
WI18378207Q00000X
GA077517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine