Provider Demographics
NPI:1922140334
Name:PIRANER, ROMAN LEV (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMAN
Middle Name:LEV
Last Name:PIRANER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2784 N DECATUR RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5903
Mailing Address - Country:US
Mailing Address - Phone:404-297-1400
Mailing Address - Fax:404-297-1427
Practice Address - Street 1:100 LACY ST NW STE 150
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1273
Practice Address - Country:US
Practice Address - Phone:770-793-7635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0469022081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH45289Medicare UPIN