Individual
ASHIS H TAYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2326
(770) 422-7797
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2326
(770) 422-7797
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
89856
GA
2084V0102X
Vascular Neurology Physician
MD061548L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001648048
—
PA
Enumeration date
12/07/2005
Last updated
10/31/2023
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