Female

Dr. Mariya A. Fishman M.D.

Diagnostic Radiology Physician in Atlanta, GA(View on Map)

Full Name

Dr. Mariya A. Fishman M.D.

NPI Number

1104003979

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/23/2008

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

056557

Contact
Information

Purpose

Mailing
Location

Address

3495 PIEDMONT RD NE
4000 DEKALB TECHNOLOGY PKWY

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30305-1717
30340-2761

Country

US
US

Telephone Number

(404) 364-7000
(770) 496-3870

Health Information Exchange

Endpoint Type

SOAP

Endpoint

https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

Endpoint Description

Carequality

Use

Health Information Exchange (HIE)

Content Type

Other

Other Description:
C-CDA

Affiliation

Y

Endpoint Location

Permanente Medical Group2400 Mount Zion PkwyJonesboro, GA302362500US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/07/2022

Provider Address

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