Gi Diagnostics PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

GI DIAGNOSTICS PC

Practice address

11435 Crossington Rd
Johns Creek, GA 30005-8991

Phone

(516) 312-9848

NPI assigned

Aug 8, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ghulam Ilyas, MDNPI 1972966265

Title

Pathologist

Phone

(516) 312-9848

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ghulam Ilyas, M.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Johns Creek, GA
  • NPI 1972966265
  Authorized official Same address or phone

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1972334399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11435 CROSSINGTON RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300058991",
            "telephone_number": "516-312-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 CROSSINGTON RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300058991",
            "telephone_number": "516-312-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "516-312-9848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.