Healthcare Provider Details

I. General information

NPI: 1053527275
Provider Name (Legal Business Name): HUMA SOHAIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S ENOTA DR NE
GAINESVILLE GA
30501-2403
US

IV. Provider business mailing address

700 S ENOTA DR NE
GAINESVILLE GA
30501-2403
US

V. Phone/Fax

Practice location:
  • Phone: 770-531-3711
  • Fax: 770-531-3718
Mailing address:
  • Phone: 770-531-3711
  • Fax: 770-531-3718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberN8991
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number73398
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: