Provider Demographics
NPI:1881188373
Name:HONDA, MICHELLE NAOMI (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:NAOMI
Last Name:HONDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1365 CLIFTON RD NE STE C1104
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-4446
Mailing Address - Fax:404-778-1901
Practice Address - Street 1:1365 CLIFTON RD NE STE C1104
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-4446
Practice Address - Fax:404-778-1901
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2023-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2018020015208600000X
GA951192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery