Sayed Bahaduri

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11571 Issued in GA

Practice address

4150 Deputy Bill Cantrell Memorial Rd
Suite 290
Cumming, GA 30040

Phone

(404) 446-0600

NPI assigned

Apr 27, 2021

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shubar Bahaduri Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gi North PC

  • Gastroenterology Physician
  • Cumming, GA
  • NPI 1750689964
  NPD (past)
• Newco Gi LLC

  dba GI North

  • Gastroenterology Physician
  • Cumming, GA
  • NPI 1073999066
  NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1326620444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 HEMLOCK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465833",
            "telephone_number": "678-328-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 290",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "404-446-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADURI",
        "first_name": "SAYED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11571",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUBAR",
            "last_name": "BAHADURI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Backsmart Health LLC - North Ga Diagnostic & Rehab (North GA Diagnostic & Rehab)
• Melissa Genevieve Baden, CACI
• Christal Bae, LAC.
• Bob B Bagheri, M.D.
• Shayan Bagheri, PA-C
• Felicity Dwamena Baidoo
• Anita Bailey
• Jaymie Bailey, PA
• Robyn Nell Bailey
• Shonda Shanel Bailey, AUD

• Medical Physician Assistant in Cumming, GA
• Providers in Cumming, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.