Individual
FAYYAZ BARODAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 PINE ST STE 290, MACON, GA 31201-7516
(478) 743-1458
Mailing address
770 PINE ST STE 290, MACON, GA 31201-7516
(478) 743-1458
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
68755
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
68755
GA
Other
Enumeration date
06/29/2006
Last updated
02/16/2024
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