Provider Demographics
NPI:1528433455
Name:AURIA MEDICAL CLINICS , LLC
Entity type:Organization
Organization Name:AURIA MEDICAL CLINICS , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-549-8971
Mailing Address - Street 1:1800 TREE LN STE 320
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6794
Mailing Address - Country:US
Mailing Address - Phone:770-284-3043
Mailing Address - Fax:888-814-0930
Practice Address - Street 1:1800 TREE LN STE 320
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6794
Practice Address - Country:US
Practice Address - Phone:770-284-3043
Practice Address - Fax:888-814-0930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66809174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAA11140Medicare UPIN