Basic Information
Provider Information
NPI: 1518043637
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TARSHIS
FirstName: HOWARD
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
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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: 1938 PEACHTREE RD NW
Address2: KAISER PERMANENTE HOSPITAL SERVICES
City: ATLANTA
State: GA
PostalCode: 303091267
CountryCode: US
TelephoneNumber: 4046031300
FaxNumber: 4046031314
Other Information
ProviderEnumerationDate: 10/31/2006
LastUpdateDate: 01/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X053887GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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