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Contact Information

AMIT V TIBREWALA, MD
1505 NORTHSIDE FORSYTH DR
STE 3600
CUMMING, GA30041
 Phone: 770-343-8565
 Fax: 770-781-3559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMIT V TIBREWALA · (Male)

NPI Number 1720275233
Status Active
Credentials MD
Entity Individual
Enumeration date 09/28/2007
Last updated 12/15/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME 108835
  • GA License # 068325
  • GA Medicaid 003125698D
  • GA Medicaid 003125698L
  • GA Medicaid 003125698M
  • GA Medicaid 003125698N
Hospital affiliation(s)
  • FANNIN REGIONAL HOSPITAL - (Acute Care)
    2855 OLD HIGHWAY 5 NORTH
    BLUE RIDGE, GA 30513
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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