Healthcare Provider Details

I. General information

NPI: 1851897169
Provider Name (Legal Business Name): TUSHAR RAMESH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 BILL CARRUTH PKWY STE 4200
HIRAM GA
30141-3819
US

IV. Provider business mailing address

144 BILL CARRUTH PKWY STE 4200
HIRAM GA
30141-3819
US

V. Phone/Fax

Practice location:
  • Phone: 678-324-4444
  • Fax: 770-528-9932
Mailing address:
  • Phone: 678-324-4444
  • Fax: 770-528-9932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number103609
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: