Fernando, Nishan H

Fernando, Nishan H is an individual health care provider with primary practice located at 1505 Northside Boulevard Suite 4300, Cumming GA 30041-8209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fernando, Nishan H can be contacted via phone (770) 205-1331.

Contact Information

Primary practice address
1505 Northside Boulevard Suite 4300 Cumming GA 30041-8209
Phone: (770) 205-1331
Fax: (770) 205-8727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 56286 Georgia

Profile Details

NPI number 1154309938
LBN Legal business name Fernando, Nishan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Oct 29th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154309938 NPPES
Georgia MEDICAID 113316142E
Georgia MEDICAID 113316142K
Georgia MEDICAID 113316142D

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