Provider Demographics
NPI:1205895505
Name:ARJONA, JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:ARJONA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3520 PIEDMONT RD NE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1609
Mailing Address - Country:US
Mailing Address - Phone:404-870-2802
Mailing Address - Fax:404-419-6623
Practice Address - Street 1:3520 PIEDMONT RD NE STE 250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1609
Practice Address - Country:US
Practice Address - Phone:404-870-2802
Practice Address - Fax:404-419-6623
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT1431192085R0202X
FLME475232085R0202X
GA0560852085R0202X
IL0361132372085R0202X
IN01060252A2085R0202X
KY393762085R0202X
MA2239542085R0202X
NC0095004972085R0202X
NJ25MA079430002085R0202X
OH862432085R0202X
PAMD4258492085R0202X
TXJ56892085R0202X
VA01012380572085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2786460 00Medicaid
FL2786460 00Medicaid