Individual
KHALID BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-5800
(404) 616-0787
Mailing address
720 WESTVIEW DR SW, SUITE 100-A, ATLANTA, GA 30310-1458
(404) 756-1400
(404) 756-1402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047572
GA
207RN0300X
Nephrology Physician
Primary
047572
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
932533195N
—
GA
Enumeration date
07/26/2006
Last updated
08/02/2021
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