MEDICARE: DR. ANUSHKA MAGAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	88005	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003346248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANUSHKA MAGAL MD

Provider Business Mailing Address
First Line	:	5780 PEACHTREE DUNWOODY RD STE 300
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1513
Country	:	US
Telephone Number	:	404-303-8035
Fax Number	:	404-303-1325

Provider Business Practice Location Address
First Line	:	4800 OLDE TOWNE PKWY STE 350
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-4396
Country	:	US
Telephone Number	:	770-509-8858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	02/15/2022

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