Male or Other

Dr. Samad Honarvar M.D.

Otolaryngology Physician in Atlanta, GA(View on Map)

Full Name

Dr. Samad Honarvar M.D.

NPI Number

1386636918

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/19/2005

Specialties

(Taxonomies)

Code

207Y00000X
174400000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia
Tennessee

License Number

016361
MD0000041519

Contact
Information

Purpose

Mailing
Location

Address

925 N POINT PKWY
1995 N PARK PL SE

City

Alpharetta
Atlanta

State

GA
GA

Postal Code

30005-5210
30339-7801

Country

US
US

Telephone Number

(678) 206-2589
(770) 438-6318

Identifiers

Identifier

203446262
203446262
203446262
203446262
473931
203446262
3823664
000181761C
203446262
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Identifier State

TN
TN
TN
TN
GA
TN
TN
GA
TN
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Identifier Issuer

BEECH STREET
PHP
HUMANA
TRI CARE
AETNA
AMERIGROUP
Unknown
Unknown
TENNCARE
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

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

Data last updated by provider on 12/02/2016

Provider Address

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