Provider Demographics
NPI:1598949679
Name:GHAZI, BAHAIR HUSSEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BAHAIR
Middle Name:HUSSEIN
Last Name:GHAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5361 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6014
Mailing Address - Country:US
Mailing Address - Phone:404-931-4915
Mailing Address - Fax:912-355-8403
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 870
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-5029
Practice Address - Country:US
Practice Address - Phone:404-255-2975
Practice Address - Fax:404-255-2276
Is Sole Proprietor?:No
Enumeration Date:2007-12-25
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA060174208600000X
GA60174208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery