Basic Information
| Provider Information | |||||||||
| NPI: | 1669736559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BACHAR | ||||||||
| FirstName: | MOSHE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3180 N POINT PKWY | ||||||||
| Address2: | STE 302 | ||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300054381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4048005181 | ||||||||
| FaxNumber: | 4048005797 | ||||||||
| Practice Location | |||||||||
| Address1: | 3180 N POINT PKWY | ||||||||
| Address2: | STE 302 | ||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300054381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4048005181 | ||||||||
| FaxNumber: | 4048005797 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2012 | ||||||||
| LastUpdateDate: | 09/02/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 73154 | GA | N | Allopathic & Osteopathic Physicians | General Practice | 208M00000X | 73154 | GA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 73154 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.