Provider Demographics
NPI:1184945420
Name:BAHARANYI, HASANI K (MD)
Entity type:Individual
Prefix:
First Name:HASANI
Middle Name:K
Last Name:BAHARANYI
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 1:2650 HOLCOMB BRIDGE RD STE 710
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5343
Mailing Address - Country:US
Mailing Address - Phone:404-282-4213
Mailing Address - Fax:
Practice Address - Street 1:2650 HOLCOMB BRIDGE RD STE 710
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5343
Practice Address - Country:US
Practice Address - Phone:404-282-4213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-2444292084P0800X
GA722452084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry