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

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taj Eubanks, MDNPI 1568468403

Title

Owner

Phone

(404) 376-3639

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taj Eubanks, M.D.

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1568468403
  Authorized official Same address or phone

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
• Providers in Atlanta, GA by specialty
• 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.