DR. AMISH TILARA (NPI# 1912221359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912221359 |
| Entity Type | Individual |
| Full Name | DR. AMISH TILARA |
| Credential | M.D. |
| Practice Address |
600 Professional Dr Suite 160a Lawrenceville GA 30046-7651 |
| Mailing Address |
1873 Royal Troon Ct Duluth GA 30097-5234 |
| Practice Telephone | 9736328372 |
| Mailing Telephone | 9736328372 |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2015-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
72836 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
72836 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
600 PROFESSIONAL DR SUITE 160A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211949 | Yazan Houssami | Psychiatry & Neurology | 600 Professional Dr, Ste 110, Lawrenceville, GA 30046-7651 | 2005-08-02 |
| 1720512635 | Avvc Medical, LLC | Clinic/Center | 600 Professional Dr, Lawrenceville, GA 30046-7651 | 2017-04-18 |
| 1942675640 | Atlanta Hand Therapy LLC | Occupational Therapist | 600 Professional Dr, Suite 100, Lawrenceville, GA 30046-7651 | 2015-12-07 |
| 1215302906 | Radius Surgery Center LLC | Clinic/Center | 600 Professional Dr, Suite 150, Lawrenceville, GA 30046-7651 | 2015-12-07 |
| 1982074431 | Avvc Anesthesia, LLC | Clinic/Center | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2015-09-28 |
| 1538546114 | Atlanta Vascular and Vein Center, LLC | Clinic/Center | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2015-05-02 |
| 1427435007 | Avvsc Lawrenceville, LLC | Clinic/Center | 600 Professional Dr, Suite 160b, Lawrenceville, GA 30046-7651 | 2015-05-02 |
| 1588897508 | Open Mri of Georgia, Inc | Radiology | 600 Professional Dr, Suite 100, Lawrenceville, GA 30045-7651 | 2009-08-25 |
| 1811152507 | Corinne F. Quinn M.d., P.C. | Internal Medicine | 600 Professional Dr, 130, Lawrenceville, GA 30045-7651 | 2008-07-23 |
| 1841498151 | Courtney C. Brooks Jr., M.d., P.C. | Internal Medicine | 600 Professional Dr, Suite 170, Lawrenceville, GA 30045-7651 | 2007-07-08 |
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| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
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| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
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|---|---|---|---|---|
| 1225675812 | Kare Asc, LLC | Radiology | 4165 Old Milton Pkwy Ste 150b, Alpharetta, GA 30005-4477 | 2019-12-03 |
| 1710541990 | Vascular Atlanta Inc | Radiology | 3840 Peachtree Industrial Blvd Ste 275b, Duluth, GA 30096-5031 | 2019-04-23 |
| 1063903078 | South Atlanta Vascular Institute, LLC | Radiology | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 | 2018-05-24 |
| 1780184218 | Preferred Vascular Services Northeast | Radiology | 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 | 2018-02-21 |
| 1417229741 | Northeast Atlanta Vascular Care, LLC | Radiology | 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 | 2012-02-01 |
| 1932479813 | Peter Sones | Radiology | 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 | 2012-01-09 |
| 1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
| 1114242930 | Alkesh Ashwinkumar Amin | Radiology | Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 | 2010-04-05 |
| 1144543877 | Kuraoka Clinic | Radiology | 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 | 2010-03-09 |
| 1447415393 | Vascular Access Center of Warner Robins LLC | Radiology | 516 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6308 | 2008-07-21 |
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| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.