Provider Demographics
NPI:1841921491
Name:GUNDROO, HAFSA MUZAFFAR (MD)
Entity type:Individual
Prefix:
First Name:HAFSA
Middle Name:MUZAFFAR
Last Name:GUNDROO
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 1:720, WESTVIEW DR, SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310
Mailing Address - Country:US
Mailing Address - Phone:404-752-1500
Mailing Address - Fax:404-756-1313
Practice Address - Street 1:720, WESTVIEW DR, SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310
Practice Address - Country:US
Practice Address - Phone:404-752-1500
Practice Address - Fax:404-756-1313
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2023-03-16
Deactivation Date:2023-03-10
Deactivation Code:
Reactivation Date:2023-03-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program