Provider Demographics
NPI:1407869407
Name:MIDTOWN NEUROLOGY, P.C.
Entity Type:Organization
Organization Name:MIDTOWN NEUROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSHAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:MISHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-653-0039
Mailing Address - Street 1:285 BOULEVARD NE STE 610
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-4212
Mailing Address - Country:US
Mailing Address - Phone:404-653-0039
Mailing Address - Fax:404-653-0159
Practice Address - Street 1:285 BOULEVARD NE STE 610
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4212
Practice Address - Country:US
Practice Address - Phone:404-653-0039
Practice Address - Fax:404-653-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN236590OtherGEORGIA NURSE PRACTITIONER LICENSE, MARISSA TORRES, NP
GA1174904106OtherNPI NATALIA ABAZERI, PA
GA1881842268OtherNPI AASHISH BHARARA, MD
GA40740OtherGEORGIA MEDICAL LICENSE DR. MISHU
GAPT008290OtherGEORGIA LICENSE PHYSICAL THERAPIST, LUIS CORDON, MSPT
GA1164606018OtherNPI JULIAN BRAGG, MD, PHD
GA12052979873OtherNPI NASSIM NABAVI, PA
GA1285199794OtherNPI MARISSA TORRES, NP
GA1407869407OtherPRACTICE NPI
GA300034887AMedicaid
GA64188OtherGEORGIA MEDICAL LICENSE, AASHISH BHARARA, MD
GA1326022583OtherNPI HUSHAM MISHU, MD
GA7911OtherGEORGIA PHYSICIANS ASSISTANT LICENSE, NASSIM NABAVI, PA
GA7592OtherGEORGIA MEDICAL LICENSE, NATALIA ABAZERI, PA
GABM5723021OtherDEA, DR MISHU
GA60801OtherGEORGIA MEDICAL LICENSE, DR. BRAGG