Healthcare Provider Details

I. General information

NPI: 1437117850
Provider Name (Legal Business Name): HANNAH SUGHRA ASGHAR M.B.B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 SIMS ST
GAINESVILLE GA
30501-3851
US

IV. Provider business mailing address

1287 SIMS ST
GAINESVILLE GA
30501-3851
US

V. Phone/Fax

Practice location:
  • Phone: 678-430-3110
  • Fax: 678-928-5955
Mailing address:
  • Phone: 678-430-3110
  • Fax: 678-928-5955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number075385
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1539
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number075385
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: