Basic Information
Provider Information
NPI: 1235246281
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GREENSTEIN
FirstName: DAVID
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
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: 20 GLENLAKE PKWY
Address2: DEPARTMENT OF GASTROENTEROLOGY
City: ATLANTA
State: GA
PostalCode: 303283473
CountryCode: US
TelephoneNumber: 7706776247
FaxNumber: 7706777343
Other Information
ProviderEnumerationDate: 08/24/2006
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
207RG0100X032574GAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


Home