Provider Demographics
NPI:1194715946
Name:ATEFI, DAVID AMIR (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AMIR
Last Name:ATEFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAWOUD
Other - Middle Name:AMIR
Other - Last Name:ATEFI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1355 PEACHTREE ST NE STE 1600
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3276
Mailing Address - Country:US
Mailing Address - Phone:678-223-7774
Mailing Address - Fax:678-388-1759
Practice Address - Street 1:1340 UPPER HEMBREE RD STE A
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:770-569-0777
Practice Address - Fax:770-569-7631
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA19029207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000201132GMedicaid
GA10BDHGMMedicare ID - Type Unspecified
GA000201132GMedicaid