Provider Demographics
NPI:1417117797
Name:COLASANTI, JONATHAN ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ARTHUR
Last Name:COLASANTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:341 PONCE DE LEON AVE NE RM 6028
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2012
Mailing Address - Country:US
Mailing Address - Phone:404-616-2493
Mailing Address - Fax:404-616-0592
Practice Address - Street 1:341 PONCE DE LEON AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2012
Practice Address - Country:US
Practice Address - Phone:404-616-2493
Practice Address - Fax:404-616-0592
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA70867207RI0200X, 207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine