Individual provider · Type 1 NPI

Keren Aviva Bashan-Gilzenrat, MD

Trauma Surgery Physician · Marietta, GA

NPI number 1700047784 Active

Practice location

55 Whitcher St NE Ste 130
Marietta, GA 30060

Call (770) 426-1629 Map

Fax (770) 427-8001

Mailing address

805 Sandy Plains Road, Medical Staff Services
Marietta, GA 30066-6340

Other practice locations

  • 80 Jesse Hill Jr Dr SE, Grady Hospital, Atlanta, GA 30303-3031 · (404) 616-1415
  • 80 Jesse Hill Jr Dr SE, Grady Hospital, Atlanta, GA 30303-3031 · (404) 616-1415

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X2014-01249 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Trauma Surgery Physician Primary 2086S0127X070045 (GA)

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1700047784

Keren Aviva Bashan-Gilzenrat, MD's National Provider Identifier is 1700047784, issued on Jun 22, 2008. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Marietta, GA. The record was last updated on Oct 16, 2019.