Healthcare Provider Details

I. General information

NPI: 1558306092
Provider Name (Legal Business Name): JAHANGIR CYRUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MANCHESTER EXPY STE H202
COLUMBUS GA
31904-6803
US

IV. Provider business mailing address

2300 MANCHESTER EXPY STE H202
COLUMBUS GA
31904-6803
US

V. Phone/Fax

Practice location:
  • Phone: 706-257-7680
  • Fax: 706-257-7681
Mailing address:
  • Phone: 706-257-7680
  • Fax: 706-257-7681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number81496
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number54329
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number19318
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number111499
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: