Healthcare Provider Details

I. General information

NPI: 1396923710
Provider Name (Legal Business Name): EMORY UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE H120 EMORY HOSPITAL
ATLANTA GA
30322-1064
US

IV. Provider business mailing address

1364 CLIFTON RD NE H120 EMORY HOSPITAL
ATLANTA GA
30322-1059
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-0093
  • Fax:
Mailing address:
  • Phone: 404-727-0093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number002592
License Number StateGA

VIII. Authorized Official

Name: SABA FAYYAZ KHAN
Title or Position: SURGERY RESIDENT
Credential: M.D.
Phone: 404-686-5500