Provider Demographics
NPI:1689080236
Name:GIULIARI, GIAN PAOLO (MD)
Entity Type:Individual
Prefix:
First Name:GIAN PAOLO
Middle Name:
Last Name:GIULIARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GIAN PAOLO
Other - Middle Name:
Other - Last Name:GIULIARI GONZALEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5505 PEACHTREE DUNWOODY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1713
Mailing Address - Country:US
Mailing Address - Phone:404-257-0814
Mailing Address - Fax:404-843-8521
Practice Address - Street 1:5505 PEACHTREE DUNWOODY RD STE 300
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1713
Practice Address - Country:US
Practice Address - Phone:404-257-0814
Practice Address - Fax:404-843-8521
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35134506207W00000X
IN11018014390200000X
GA92227207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty