Jaliu, Bogdan Cristian
Jaliu, Bogdan Cristian is an individual health care provider with primary practice located at 2142 W Broad St Bldg 100 Ste 200, Athens GA 30606-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jaliu, Bogdan Cristian can be contacted via phone (706) 548-6881.Contact Information
Primary practice address
2142 W Broad St Bldg 100 Ste 200
Athens GA 30606-3506
Phone: (706) 548-6881
Fax: (706) 546-0821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 65011 | Georgia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 65011 | Georgia |
Profile Details
| NPI number | 1376747881 |
|---|---|
| LBN Legal business name | Jaliu, Bogdan Cristian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | May 16th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376747881 | NPPES |
| Georgia | MEDICAID | 003106340A |
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