Healthcare Provider Details

I. General information

NPI: 1851605323
Provider Name (Legal Business Name): BABAR JUNAIDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 01/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE
ATLANTA GA
30322-4222
US

IV. Provider business mailing address

310 FINDLEY WAY
JOHNS CREEK GA
30097-1435
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-6382
  • Fax: 404-778-4181
Mailing address:
  • Phone: 248-565-5575
  • Fax: 404-778-4181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301096241
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD19583
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number77838
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: