National Provider Identifier Database

NISHAN H FERNANDO, MD – NPI #1154309938
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

NISHAN H FERNANDO, MD
1505 NORTHSIDE BLVD STE 3100
CUMMING, GA30041-7623
Phone: 770-205-1331
Fax: 770-205-8727
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for NISHAN H FERNANDO

NPI Number 1154309938
Credentials MD
Entity Individual
Enumeration date 01/03/2006
Last updated 05/29/2026 - Less than a week ago
Sole proprietor1 No
Identifiers
  • GA License #: 56286
  • GA Medicaid: 113316142D
  • GA Medicaid: 113316142E
  • GA Medicaid: 113316142K
Hospital affiliation n/a

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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