Individual
DR. ANWER ALI SHAMSUDDIN BHAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE STE N-305, ATLANTA, GA 30322-6342
(404) 778-5334
(404) 778-4181
Mailing address
3165 SAINT IVES COUNTRY CLUB PKWY, DULUTH, GA 30097-2001
(770) 880-1774
(770) 502-6754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639911800A
—
GA
Enumeration date
11/14/2006
Last updated
02/18/2025
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