Provider Demographics
NPI:1548232036
Name:KOCHILAS, LAZAROS K (MD)
Entity Type:Individual
Prefix:DR
First Name:LAZAROS
Middle Name:K
Last Name:KOCHILAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2835 BRANDYWINE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-5510
Mailing Address - Country:US
Mailing Address - Phone:404-256-2593
Mailing Address - Fax:770-488-9408
Practice Address - Street 1:5461 MERIDIAN MARK RD STE 530
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3283
Practice Address - Country:US
Practice Address - Phone:404-256-2593
Practice Address - Fax:770-488-9408
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2023-03-24
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Provider Licenses
StateLicense IDTaxonomies
RIMD110362080P0202X
MA2163832080P0202X
GA0733312080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7010302Medicaid
RI7010302Medicaid
RI007010302Medicare PIN