MEDICARE: ZANETA DANETTE ROMAIN M.D.

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	208M00000X	Hospitalist Physician	01080267A	IN
2	208800000X	Urology Physician	W4352	TX
3	208800000X	Urology Physician	01080267A	IN
4	208800000X	Urology Physician	064455	GA

General Provider Information

NPI Number	:	1437386307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZANETA DANETTE ROMAIN M.D.

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	404-364-7070
Fax Number	:	713-794-7352

Provider Business Practice Location Address
First Line	:	20 GLENLAKE PARKWAY
Second Line	:	KAISER PERMANENTE GLENLAKE MEDICAL CENTER
City	:	ATLANTA
State	:	GA
Zip	:	30328
Country	:	US
Telephone Number	:	770-677-6257
Fax Number	:	713-794-7352

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

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	04/30/2026

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