Organization Active NPI

Chichi Berhane, MD, L.L.C

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1275968158
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
68110 Issued in GA
Legal business name
CHICHI BERHANE, MD, L.L.C
Practice address
3193 Howell Mill Rd NW
Suite 328
Atlanta, GA 30327-2119
Phone
(404) 430-8917
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Medhanie Chichi Berhane, MD
Title
Ceo/Coo
Phone
(404) 430-8917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 68110 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Suite 328
Atlanta, GA 30327-2119

Mailing address

2107 Madison Dr
Atlanta, GA 30346-2437
Phone (404) 430-8917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1275968158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 MADISON DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303462437",
            "telephone_number": "404-430-8917",
            "fax_number": "404-350-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 328",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-430-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICHI BERHANE, MD, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "BERHANE",
        "authorized_official_first_name": "MEDHANIE",
        "authorized_official_middle_name": "CHICHI",
        "authorized_official_title_or_position": "CEO/COO",
        "authorized_official_telephone_number": "404-430-8917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "68110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.