Basic Information
Provider Information
NPI: 1215045232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARZILAY
FirstName: JOSHUA
MiddleName: I
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3495 PIEDMONT RD NE
Address2: NINE PIEDMONT CENTER
City: ATLANTA
State: GA
PostalCode: 303051717
CountryCode: US
TelephoneNumber: 4043647000
FaxNumber:  
Practice Location
Address1: 200 CRESCENT CENTER PKWY
Address2: DEPARTMENT OF DIABETES CARE
City: TUCKER
State: GA
PostalCode: 300847047
CountryCode: US
TelephoneNumber: 4043644757
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/29/2006
LastUpdateDate: 01/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X033929GAY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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