Provider Demographics
NPI:1457579492
Name:HAZARIWALA, SONAL RAMESH (MD)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:RAMESH
Last Name:HAZARIWALA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:770-787-8228
Practice Address - Street 1:2400 MOUNT ZION PKWY
Practice Address - Street 2:KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2500
Practice Address - Country:US
Practice Address - Phone:770-787-8200
Practice Address - Fax:770-787-8228
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2022-01-10
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Provider Licenses
StateLicense IDTaxonomies
GA0541512084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology