Healthcare Provider Details

I. General information

NPI: 1295167955
Provider Name (Legal Business Name): RAHUL LOUNGANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 07/21/2022
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 COLLIER RD NW STE 3000
ATLANTA GA
30309-1721
US

IV. Provider business mailing address

95 COLLIER RD NW STE 3000
ATLANTA GA
30309-1721
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-5810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number88500
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number88500
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: