Bashan-Gilzenrat, Keren Aviva

Bashan-Gilzenrat, Keren Aviva is an individual health care provider with primary practice located at 55 Whitcher St Ne Ste 130 , Marietta GA 30060. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Bashan-Gilzenrat, Keren Aviva can be contacted via phone (770) 426-1629.

Contact Information

Primary practice address
55 Whitcher St Ne Ste 130 Marietta GA 30060
Phone: (770) 426-1629
Fax: (770) 427-8001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2014-01249 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 070045 Georgia

Profile Details

NPI number 1700047784
LBN Legal business name Bashan-Gilzenrat, Keren Aviva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2008
Last updated Oct 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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