Provider Demographics
NPI:1659724334
Name:REGMI, ASISH (MD)
Entity Type:Individual
Prefix:
First Name:ASISH
Middle Name:
Last Name:REGMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1267 HIGHWAY 54 W STE 5400
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-2113
Mailing Address - Country:US
Mailing Address - Phone:678-817-5542
Mailing Address - Fax:
Practice Address - Street 1:1267 HIGHWAY 54 W STE 5400
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-2113
Practice Address - Country:US
Practice Address - Phone:678-817-5542
Practice Address - Fax:678-817-5672
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD467854208M00000X
PAMT211349390200000X
GA95346207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program