Individual
DR. TASNEEM H BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 DRESDEN DR NE, BROOKHAVEN, GA 30319-3579
(404) 814-9808
Mailing address
1401 DRESDEN DR NE, BROOKHAVEN, GA 30319-3579
(404) 814-9808
(404) 814-6086
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
BB6785109
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
049025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000873001P
—
GA
05
—
000873001Q
—
GA
Enumeration date
08/17/2006
Last updated
11/02/2020
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