Dr. Allan Antonio Dias, M.D.
Pediatrics, Pediatric Pulmonology in Atlanta, GA. Individual provider (NPI-1).
NPI number1639355142
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1639355142
- Entity type
- Individual (NPI-1)
- Name
- Dr. Allan Antonio Dias
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2008
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0214X | Pediatrics, Pediatric Pulmonology | 65759 | GA | Yes |
| 282N00000X | General Acute Care Hospital | – | – |
Practice location
859 Mount Vernon Hwy Ne Ste 300Atlanta, GA 30328-4255
Phone 404-785-0588
Mailing address
2392 Henderson Pines CtTucker, GA 30084-3406
Phone 631-839-7415
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