Basic Information
Provider Information
NPI: 1598047110
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JHURANI
FirstName: SUNAINA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: NANCHAHAL
OtherFirstName: SUNAINA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 4500 N SHALLOWFORD RD
Address2:  
City: ATLANTA
State: GA
PostalCode: 303386476
CountryCode: US
TelephoneNumber: 4047786920
FaxNumber:  
Practice Location
Address1: 790 CHURCH ST NE STE 250
Address2:  
City: MARIETTA
State: GA
PostalCode: 300608902
CountryCode: US
TelephoneNumber: 6787978201
FaxNumber: 4045882655
Other Information
ProviderEnumerationDate: 09/10/2011
LastUpdateDate: 02/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X7217GAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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