Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 35543 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 35543 | GA |
NPI | 1336158104 |
---|---|
Provider Name | Dr. Demir Baykal |
First Address | Lawrenceville, GA 30046-8765 |
Second Address | Lawrenceville, GA 30046-8765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 29/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000832147A | (05) | GA |
H01709 | (02) | GA |