Provider Demographics
NPI:1801000260
Name:NOOKA, AJAY K (MD, MPH,FACP)
Entity Type:Individual
Prefix:DR
First Name:AJAY
Middle Name:K
Last Name:NOOKA
Suffix:
Gender:M
Credentials:MD, MPH,FACP
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Mailing Address - Street 1:1365B CLIFTON RD NE
Mailing Address - Street 2:B5115
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-0655
Mailing Address - Fax:404-778-5530
Practice Address - Street 1:1365C CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-0655
Practice Address - Fax:404-778-5530
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2011-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA063380207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology