Basic Information
Provider Information
NPI: 1386739571
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL-CHAMI
FirstName: MIKHAEL
MiddleName: F
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1365 CLIFTON RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303221013
CountryCode: US
TelephoneNumber: 4046861000
FaxNumber:  
Practice Location
Address1: 1365 CLIFTON RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303221013
CountryCode: US
TelephoneNumber: 4046861000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/04/2006
LastUpdateDate: 07/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001X05339GAY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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