RICHARD JOHN CORALLI (NPI# 1144241159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144241159 |
| Entity Type | Individual |
| Full Name | RICHARD JOHN CORALLI |
| Credential | MD |
| Practice Address |
2665 N Decatur Rd Suite 260 Decatur GA 30033-6149 |
| Practice Telephone | 4042979077 |
| Practice Fax Number | 4042961220 |
| Mailing Telephone | 4042979077 |
| Mailing Fax Number | 4042961220 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
027042 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000399154B | 05 | |
| GA | GA LICENSE | 027042 | 01 |
| DEA LICENSE | BC2184757 | 01 |
| Street Address |
2665 N DECATUR RD SUITE 260 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-6149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430797 | David Alan Miller | Internal Medicine | 2665 N Decatur Rd, Ste 430, Decatur, GA 30033-6149 | 2005-07-08 |
| 1871034934 | Tejal Dinesh Mehta | Nurse Practitioner | 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 | 2017-03-09 |
| 1235586728 | Dana Chason | Nurse Practitioner | 2665 N Decatur Rd, #230, Decatur, GA 30033-6149 | 2016-05-16 |
| 1700214590 | Lauren Paulus Stewart | Physician Assistant | 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 | 2013-10-15 |
| 1184069973 | Aakashi D Patel | Physician Assistant | 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 | 2013-05-07 |
| 1649537416 | Dekalb Neurology Group, LLC | Psychiatry & Neurology | 2665 N Decatur Rd, Suite 540, Decatur, GA 30033-6149 | 2012-04-18 |
| 1932478849 | Medical Oncology Consultants of Atlanta | Specialist | 2665 N Decatur Rd, Suite 150, Decatur, GA 30033-6149 | 2011-12-21 |
| 1619296746 | Alice Azzalin | Internal Medicine | 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 | 2010-05-28 |
| 1740518612 | Paresh P Kamat | Internal Medicine | 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 | 2009-12-03 |
| 1992934111 | Dimple Lilian Kripalani | Nurse Practitioner | 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003846221 | Henock G Zabher | Internal Medicine | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2006-07-04 |
| 1487682860 | Jeffrey J Howard | Internal Medicine | 2801 N Decatur Rd Ste 395, Decatur, GA 30033-5936 | 2006-06-28 |
| 1679519185 | Abid - Mohiuddin | Internal Medicine | 1630 Clairmont Rd, Decatur, GA 30033-4048 | 2006-06-22 |
| 1407826233 | Ashish Kumar Basu | Internal Medicine | 2424 Danville Rd Sw, Suite L, Decatur, AL 35603-4280 | 2006-01-24 |
| 1538148531 | Luis Nicolas Villanueva | Internal Medicine | 1121 Somerville Rd Se, Suite 1, Decatur, AL 35601-3256 | 2006-01-10 |
| 1760940712 | Emily Ann Foster | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-03-08 |
| 1649786906 | Amber N Ridgeway | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2017-12-22 |
| 1831637040 | Martha Cline | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2017-02-08 |
| 1609222579 | Deanna Wallace | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2016-05-10 |
| 1861746430 | Atlanta Cardiac & Vascular Specialties, LLC | Internal Medicine | 2675 N Decatur Rd, Suite 307, Decatur, GA 30033-6131 | 2012-11-05 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.