Provider Demographics
NPI:1740321108
Name:KORTE, ULRIKE MARIA (MD)
Entity type:Individual
Prefix:
First Name:ULRIKE
Middle Name:MARIA
Last Name:KORTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ULRIKE
Other - Last Name:KORTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3400 OLD MILTON PKWY STE C270
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4414
Mailing Address - Country:US
Mailing Address - Phone:770-442-1911
Mailing Address - Fax:770-663-8905
Practice Address - Street 1:3400 OLD MILTON PKWY STE A410
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3761
Practice Address - Country:US
Practice Address - Phone:770-667-3120
Practice Address - Fax:770-667-7975
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027397207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD29973Medicare UPIN