Provider Demographics
NPI:1942204557
Name:ALEMAN, CHAD JUDE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:JUDE
Last Name:ALEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHAD
Other - Middle Name:J
Other - Last Name:ALEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1455 LINCOLN PKWY E
Mailing Address - Street 2:STE 315
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2209
Mailing Address - Country:US
Mailing Address - Phone:404-777-1728
Mailing Address - Fax:833-471-4352
Practice Address - Street 1:1455 LINCOLN PKWY E
Practice Address - Street 2:STE 315
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2209
Practice Address - Country:US
Practice Address - Phone:404-777-1728
Practice Address - Fax:833-471-4352
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056795202K00000X, 207P00000X, 2086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2485305Medicaid
GA609583907HMedicaid
GA609583907HMedicaid
OHIO6677Medicare UPIN
OH2485305Medicaid