Provider Demographics
NPI:1821214693
Name:ESKANDER -DEMIAN, NAGWA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGWA
Middle Name:
Last Name:ESKANDER -DEMIAN
Suffix:
Gender:F
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:PO BOX 566455
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31156-6455
Mailing Address - Country:US
Mailing Address - Phone:770-392-9299
Mailing Address - Fax:770-392-9298
Practice Address - Street 1:7100 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-1689
Practice Address - Country:US
Practice Address - Phone:770-392-9299
Practice Address - Fax:770-392-9298
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046297208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
BE8823305OtherDEA
08BBVFWMedicare ID - Type Unspecified
BE8823305OtherDEA
H44894Medicare UPIN