Provider Demographics
NPI:1578827234
Name:BIKAK, ABDUL LATIF (MD)
Entity Type:Individual
Prefix:
First Name:ABDUL LATIF
Middle Name:
Last Name:BIKAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:55 WHITCHER ST NE STE 350
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1129
Mailing Address - Country:US
Mailing Address - Phone:770-424-6893
Mailing Address - Fax:770-528-9938
Practice Address - Street 1:175 WHITE ST NW STE 100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1054
Practice Address - Country:US
Practice Address - Phone:470-793-0200
Practice Address - Fax:770-590-4185
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI69204207RA0001X
GA91556207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology