Active NPI
Chichi Berhane, MD, L.L.C
- Plastic Surgery Physician
- Atlanta, GA
National Provider Identifier
1275968158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 68110
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryNPI 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.