Manolo Bunag Apanay, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

13575 Issued in GA

Practice address

4604 Tiger Lily Way NW
Marietta, GA 30067-3643

Phone

(770) 321-1770

Fax

(770) 321-1919

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1962685628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 TIGER LILY WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300673643",
            "telephone_number": "770-321-1770",
            "fax_number": "770-321-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 TIGER LILY WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300673643",
            "telephone_number": "770-321-1770",
            "fax_number": "770-321-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APANAY",
        "first_name": "MANOLO",
        "middle_name": "BUNAG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "13575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.