Provider Demographics
NPI:1669736559
Name:BACHAR, MOSHE (MD)
Entity type:Individual
Prefix:
First Name:MOSHE
Middle Name:
Last Name:BACHAR
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 1:3020 HOLCOMB BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1375
Mailing Address - Country:US
Mailing Address - Phone:404-800-5181
Mailing Address - Fax:404-800-5797
Practice Address - Street 1:3020 HOLCOMB BRIDGE RD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1375
Practice Address - Country:US
Practice Address - Phone:404-800-5181
Practice Address - Fax:404-800-5797
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA73154207R00000X, 208M00000X, 207RA0401X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice