MEDICARE: DR. FAISAL MERCHANT 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
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	62745	GA

General Provider Information

NPI Number	:	1336130699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAISAL MERCHANT MD

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	MEDICAL OFFICE TOWER 6TH FLOOR
City	:	ATLANTA
State	:	GA
Zip	:	30308-2208
Country	:	US
Telephone Number	:	404-686-2504
Fax Number	:	404-686-4826

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	MEDICAL OFFICE TOWER 6TH FLOOR
City	:	ATLANTA
State	:	GA
Zip	:	30308-2208
Country	:	US
Telephone Number	:	404-686-2504
Fax Number	:	404-686-4826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/07/2015

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Directions to “ DR. FAISAL MERCHANT MD” Practice Location

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