Healthcare Provider Details

I. General information

NPI: 1780604561
Provider Name (Legal Business Name): DAVID T KUHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 CLIFTON RD NE
ATLANTA GA
30322-1013
US

IV. Provider business mailing address

1056 HIGH POINT DR NE
ATLANTA GA
30306-3235
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-5000
  • Fax:
Mailing address:
  • Phone: 404-748-9215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number057527
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: