MEDICARE: SONJOY R LASKAR 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	207RC0000X	Cardiovascular Disease Physician	54772	GA
2	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	054772	GA

General Provider Information

NPI Number	:	1821109604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJOY R LASKAR MD

Provider Business Mailing Address
First Line	:	1365 CLIFTON RD NE
Second Line	:	SUITE AT430
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-5268
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE
Second Line	:	SUITE 430
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-5268
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/28/2017

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