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NPI Code Detail

MEDICARE: MS. CHARISHMA NAYYAR P.A.

MEDICARE: MS. CHARISHMA NAYYAR P.A.
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
1363AS0400XSurgical Physician Assistant012074NY
2363AS0400XSurgical Physician Assistant6654GA

General Provider Information

NPI Number : 1497934129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHARISHMA NAYYAR P.A.
Provider Business Mailing Address
First Line : 975 JOHNSON FERRY RD NE
Second Line : SUITE 100
City : ATLANTA
State : GA
Zip : 30342-1618
Country : US
Telephone Number : 404-256-1311
Fax Number : 404-705-2774
Provider Business Practice Location Address
First Line : 975 JOHNSON FERRY RD NE
Second Line : SUITE 100
City : ATLANTA
State : GA
Zip : 30342-1618
Country : US
Telephone Number : 404-256-1311
Fax Number : 404-705-2774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2007
Last Update Date : 06/07/2013

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Directions to “ MS. CHARISHMA NAYYAR P.A.” Practice Location

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