Provider Demographics
NPI:1760582498
Name:TARANTO, ALAN I (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:I
Last Name:TARANTO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1140 HAMMOND DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-7274
Mailing Address - Country:US
Mailing Address - Phone:404-851-5400
Mailing Address - Fax:404-851-5401
Practice Address - Street 1:1140 HAMMOND DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-7274
Practice Address - Country:US
Practice Address - Phone:404-851-5400
Practice Address - Fax:404-851-5401
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2011-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA012578207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000061806IMedicaid
GAD30976Medicare UPIN
GA000061806IMedicaid
D30976Medicare UPIN