Healthcare Provider Details

I. General information

NPI: 1629739255
Provider Name (Legal Business Name): BIZ INFO TECH CONSULTING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PHARR RD NE STE 200
ATLANTA GA
30305-3433
US

IV. Provider business mailing address

550 PHARR RD NE STE 200
ATLANTA GA
30305-3433
US

V. Phone/Fax

Practice location:
  • Phone: 678-973-0045
  • Fax: 678-732-0256
Mailing address:
  • Phone: 678-973-0045
  • Fax: 678-732-0256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. HASSAN CHOUDHURY
Title or Position: PRESIDENT
Credential: EMBA
Phone: 678-973-0045