Provider Demographics
NPI:1740265099
Name:PADHIAR, HEMEN (MD)
Entity type:Individual
Prefix:DR
First Name:HEMEN
Middle Name:
Last Name:PADHIAR
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 1:1400 NORTHSIDE FORSYTH DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7668
Mailing Address - Country:US
Mailing Address - Phone:770-898-8388
Mailing Address - Fax:770-898-8389
Practice Address - Street 1:1400 NORTHSIDE FORSYTH DR STE 200
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7668
Practice Address - Country:US
Practice Address - Phone:770-898-8388
Practice Address - Fax:770-898-8389
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055623207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA540899054EMedicaid
GA540899054BMedicaid
I30626Medicare UPIN
GAGRP7457Medicare ID - Type UnspecifiedGROUP NUMBER