DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KHUDR M BURJAK MD

MEDICARE: DR. KHUDR M BURJAK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician061709GA
2207RN0300XNephrology Physician061709GA
3208M00000XHospitalist Physician61709GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1061709OTHERGALICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154321248
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHUDR M BURJAK MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 10/07/2020

Similar Medicare Providers

1679284798 — HAILEY HANDERHAN PA-C
Practice Location Address:
743 SPRING ST NE
GAINESVILLE, GA
30501-3715
Practice Phone: 770-219-9000
Practice Fax:
1881549871 — STACEY STCLAIR PMHNP
Practice Location Address:
743 SPRING ST NE
GAINESVILLE, GA
30501-3715
Practice Phone: 770-219-9000
Practice Fax:
1821520131 — DR. AMINA FAROOQ M.D.
Practice Location Address:
743 SPRING ST NE
GAINESVILLE, GA
30501-3715
Practice Phone: 770-219-9000
Practice Fax: 770-219-6021
1801892518 — WENDY K GALEK P.A.
Practice Location Address:
743 SPRING ST NE
GAINESVILLE, GA
30501-3715
Practice Phone: 770-219-9000
Practice Fax:
1427055821 — NORTHEAST GEORGIA MEDICAL CENTER, INC.
Practice Location Address:
743 SPRING ST NE
GAINESVILLE, GA
30501-3715
Practice Phone: 770-219-9000
Practice Fax: 678-897-6694
1811997794 — DR. ERIC AKONWI MABO MD
Practice Location Address:
743 SPRING ST NE
GAINESVILLE, GA
30501-3715
Practice Phone: 770-219-2627
Practice Fax: 770-219-7365

Directions to “ DR. KHUDR M BURJAK MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.