Provider Demographics
NPI:1710902861
Name:HIRSH, EUGENE HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:HAROLD
Last Name:HIRSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5669 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1786
Mailing Address - Country:US
Mailing Address - Phone:404-255-1000
Mailing Address - Fax:404-847-0416
Practice Address - Street 1:5669 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 270
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1786
Practice Address - Country:US
Practice Address - Phone:404-255-1000
Practice Address - Fax:404-847-0416
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA017825207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA30342B002OtherTRICARE
GA4031900OtherAETNA
GA406061009OtherRAILROAD MEDICARE
GA000016316OtherMEDICAID REF #
GA0480739OtherCIGNA
GA151837OtherBCBS
GA319360OtherWELLCARE
GA00201253AMedicaid
GAAH2958897OtherDEA
GA319360OtherWELLCARE
GAD40146Medicare UPIN