MEDICARE: RAMIN STEPHAN BAYANI DC

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	111N00000X	Chiropractor	CH89002683	GA
2	111NX0100X	Occupational Health Chiropractor	CH89002683	GA

General Provider Information

NPI Number	:	1467719690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMIN STEPHAN BAYANI DC

Provider Business Mailing Address
First Line	:	236 JOHNSON FERRY RD. NE
Second Line	:	SUITE 200
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-7402
Country	:	US
Telephone Number	:	404-255-0666
Fax Number	:	404-705-9942

Provider Business Practice Location Address
First Line	:	236 JOHNSON FERRY RD. NE
Second Line	:	SUITE 200
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-7402
Country	:	US
Telephone Number	:	404-255-0666
Fax Number	:	404-705-9942

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

Provider Enumeration Date	:	04/12/2012
Last Update Date	:	04/12/2012

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Directions to “ RAMIN STEPHAN BAYANI DC” Practice Location

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