Bhushan S. Agharkar, M.D.
Individual provider Active NPI Psychiatry Physician · Atlanta, GA
NPI 1619180304 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619180304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 52186 (GA)
- Practice address
- 57 Executive Park South NE
Suite 360
Atlanta, GA 30329-2288 - Phone
- (404) 636-0054
- Fax
- (866) 824-5215
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 3, 2016 through Apr 3, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52186 | GA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 52186 | GA | Yes |
Addresses
Primary practice location
57 Executive Park South NE
Suite 360
Atlanta, GA 30329-2288
Mailing address
57 Executive Park South NE
Suite 360
Atlanta, GA 30329-2288
Phone (404) 636-0054
Other providers in Atlanta, GA
- Agency for Toxic Substance and Disease Registry (Atsdr)
- Atishi Deepti Aggarwal
- Pasquelle Aggett-Carosella
- Beesan Shalabi Agha
- Toranj Aghaghiri
- Robert Aghoghovbia
- Agi Atlanta Group International
- Shoshana Dayanim Agichtein
- Agilitas USA, Inc
- Agilitas USA, Inc
All providers in Atlanta, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.