Provider Demographics
NPI:1649297656
Name:HASSANI, DAHLIA (MD)
Entity type:Individual
Prefix:
First Name:DAHLIA
Middle Name:
Last Name:HASSANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 SCOTT BLVD
Mailing Address - Street 2:A8
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1312
Mailing Address - Country:US
Mailing Address - Phone:404-272-7702
Mailing Address - Fax:404-616-0074
Practice Address - Street 1:1010 SCOTT BLVD
Practice Address - Street 2:A8
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1312
Practice Address - Country:US
Practice Address - Phone:404-272-7702
Practice Address - Fax:404-616-0074
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA53923207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine