Taj Eubanks MD LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

TAJ EUBANKS MD LLC

Practice address

830 W Peachstree St
Atlanta, GA 30308-1056

Phone

(404) 376-3639

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Taj Eubanks, MD

Title

Owner

Phone

(404) 376-3639

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1144655481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DAVIS BLVD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W PEACHSTREE ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081056",
            "telephone_number": "404-376-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJ EUBANKS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "TAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-376-3639",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Atlanta, GA
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• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.