Provider Demographics
NPI:1881856045
Name:DELIMA, PHILIP D (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:D
Last Name:DELIMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-504-5678
Mailing Address - Fax:608-258-6259
Practice Address - Street 1:1000 JOHNSON FY RD NE
Practice Address - Street 2:KAISER PERMANENTE NORTHSIDE HOSPITAL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1606
Practice Address - Country:US
Practice Address - Phone:404-851-8000
Practice Address - Fax:608-258-6259
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-01-10
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Provider Licenses
StateLicense IDTaxonomies
WI55648208M00000X
GA076003208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIK400162405Medicare PIN