Individual
DR. SAMAD HONARVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1995 N PARK PL SE, STE 550, ATLANTA, GA 30339-7801
(770) 438-6318
(770) 438-2185
Mailing address
925 N POINT PKWY, STE 130, ALPHARETTA, GA 30005-5210
(678) 206-2589
(678) 261-1713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000041519
TN
207Y00000X
Otolaryngology Physician
Primary
016361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000181761C
—
GA
01
—
203446262
BEECH STREET
TN
05
—
3823664
—
TN
01
—
4135659
BLUE CROSS BLUE SHIELD
TN
01
—
473931
AETNA
GA
01
—
52238357
BCBS OF GEORGIA
GA
01
—
6390202
CIGNA
GA
01
—
6390202
CIGNA
TN
01
—
943882
PHS
TN
Enumeration date
08/19/2005
Last updated
12/02/2016
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