Individual
DR. ROBERT GLEN BASHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 CENTURY PKWY NE, ATLANTA, GA 30345-3154
(404) 946-9327
(833) 941-2436
Mailing address
2200 CENTURY PKWY NE STE 260, ATLANTA, GA 30345-3103
(404) 946-9327
(833) 941-2436
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
026451
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000345639S
—
GA
01
—
130014132
RAILROAD MEDICARE
GA
Enumeration date
05/23/2005
Last updated
07/22/2025
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