Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036.117229 | IL |
N | 111NI0900X | Internist | 036.117229 | IL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 075029 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 075029 | GA |
NPI | 1154508117 |
---|---|
Provider Name | Michael Anthony Burke |
First Address | Atlanta, GA 30322-1064 |
Second Address | Atlanta, GA 30322-1064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2008 |
Last Update Date | 07/08/2017 |