MEDICARE: MICHAL HUBKA 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	110578	GA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD60164259	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01257593	OTHER	WA	RAILROAD MDC

General Provider Information

NPI Number	:	1023152428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAL HUBKA MD

Provider Business Mailing Address
First Line	:	980 JOHNSON FERRY RD STE 800
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1608
Country	:	US
Telephone Number	:	404-252-9063
Fax Number	:	404-252-0873

Provider Business Practice Location Address
First Line	:	980 JOHNSON FERRY RD STE 800
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1608
Country	:	US
Telephone Number	:	404-252-9063
Fax Number	:	404-252-0873

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

Provider Enumeration Date	:	02/18/2007
Last Update Date	:	03/03/2026

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