MEDICARE: DR. SOHAIL ASFANDIYAR 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	207RG0100X	Gastroenterology Physician	062464	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	:	1477762888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOHAIL ASFANDIYAR MD

Provider Business Mailing Address
First Line	:	711 CANTON RD NE STE 300
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30060-8949
Country	:	US
Telephone Number	:	678-741-2317
Fax Number	:	770-944-4522

Provider Business Practice Location Address
First Line	:	118 MILL ST STE 110
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4880
Country	:	US
Telephone Number	:	678-741-5000
Fax Number	:	770-944-4470

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	12/03/2025

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