Provider Demographics
NPI:1649521089
Name:ARANBAYEV, YURIY ALEX (RT(R))
Entity type:Individual
Prefix:
First Name:YURIY
Middle Name:ALEX
Last Name:ARANBAYEV
Suffix:
Gender:M
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 CARROLL CT
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-5010
Mailing Address - Country:US
Mailing Address - Phone:404-547-7483
Mailing Address - Fax:
Practice Address - Street 1:1004 CARROLL CT
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-5010
Practice Address - Country:US
Practice Address - Phone:404-547-7483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier