Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CHIR0099638 | GA |
N | 111NI0013X | Independent Medical Examiner | 33704 | CA |
Y | 111NI0013X | Independent Medical Examiner | CHIR009638 | GA |
N | 207R00000X | Internist | 33704 | CA |
N | 111NI0900X | Internist | 33704 | CA |
N | 207R00000X | Internist | CHIR009638 | GA |
N | 111NI0900X | Internist | CHIR009638 | GA |
N | 111NN0400X | Neurology | 33704 | CA |
N | 111NN0400X | Neurology | CHIR009638 | GA |
N | 111NR0200X | Radiology | CHIR009638 | GA |
N | 213ER0200X | Radiology | CHIR009638 | GA |
N | 111NR0400X | Rehabilitation Chiropractor | 33704 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | CHIR009638 | GA |
N | 111NS0005X | Chiropractic Sports Physician | 33704 | CA |
N | 111NS0005X | Chiropractic Sports Physician | CHIR009638 | GA |
N | 111NX0100X | Occupational Health | CHIR009638 | GA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 33704 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | CHIR009638 | GA |
NPI | 1235596156 |
---|---|
Provider Name | Dr. Amir A Banishahi |
First Address | Atlanta, GA 30339-5621 |
Second Address | Atlanta, GA 30339-5621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2016 |
Last Update Date | 19/09/2016 |