MEDICARE: OMAR HAJMURAD M.D.

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	207L00000X	Anesthesiology Physician	081358	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1568881951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR HAJMURAD M.D.

Provider Business Mailing Address
First Line	:	1081 VININGS FALLS DR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-5894
Country	:	US
Telephone Number	:	770-434-8166
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 AUSTELL RD
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-1121
Country	:	US
Telephone Number	:	770-702-1806
Fax Number	:

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

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	03/03/2026

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