Provider Demographics
NPI:1881270247
Name:TALUKDAR, NINA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:
Last Name:TALUKDAR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3276 BUFORD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-5702
Mailing Address - Country:US
Mailing Address - Phone:404-251-2890
Mailing Address - Fax:
Practice Address - Street 1:3276 BUFORD DR STE 100
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-5702
Practice Address - Country:US
Practice Address - Phone:404-251-2890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13435207R00000X
390200000X
GA98546207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program