Individual
MR. AJAY HANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 AUSTELL ROAD, AUSTELL, GA 30106
(770) 732-3649
(770) 732-3648
Mailing address
PO BOX 155, AUSTELL, GA 30168-1002
(770) 732-3649
(770) 732-3648
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
046599
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046599
LICENSE #
—
05
—
462052957A
—
GA
Enumeration date
04/06/2006
Last updated
07/12/2023
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