Individual provider Active NPI

Gulshan S Harjee, MD

  • Internal Medicine Physician
  • Decatur, GA
National Provider Identifier
1124090857
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026865 Issued in GA
Practice address
2536 Lawrenceville Hwy
Decatur, GA 30033-3227
Phone
(770) 934-6832
Fax
(770) 938-0837
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 026865 GA Primary

Addresses

Primary practice location

2536 Lawrenceville Hwy
Decatur, GA 30033-3227

Mailing address

2536 Lawrenceville Highway
Decatur, GA 30033
Phone (770) 934-9832

Other identifiers 2

IdentifierTypeStateIssuer
000345463BMedicaidGA
00345463BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026865GAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: gulshan.harjee@firstmed.gadirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1124090857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 LAWRENCEVILLE HIGHWAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "770-934-9832",
            "fax_number": "770-934-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333227",
            "telephone_number": "770-934-6832",
            "fax_number": "770-938-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARJEE",
        "first_name": "GULSHAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "026865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000345463B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00345463B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.