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Dr. Keren Aviva Bashan-gilzenrat, MD
Trauma Surgery Physician in Marietta, Georgia
NPI 1700047784

Keren Aviva Bashan-gilzenrat is a Trauma Surgery Physician based in Marietta, GA and is specialized in Trauma Surgery. Keren Aviva Bashan-gilzenrat practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Keren Aviva Bashan-gilzenrat is 1700047784 and holds a License No. 2014-01249 (Georgia).

The current practice location address for Keren Aviva Bashan-gilzenrat is 55 Whitcher St Ne Ste 130, Marietta, GA and can be reached out via phone at 770-426-1629 and via fax at 770-427-8001. You can also correspond with Keren Aviva Bashan-gilzenrat through the mailing address at 805 SANDY PLAINS ROAD, MARIETTA, GA - 30066-6340 (mailing address contact number: ).

Location: 55 Whitcher St Ne Ste 130, Marietta, GA, 30066-6340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700047784
Provider Name
Keren Aviva Bashan-gilzenrat
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Whitcher St Ne Ste 130, Marietta, GA, 30066-6340
Phone Number
770-426-1629
Fax Number
770-427-8001
Provider Enumeration Date
06/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Whitcher St Ne Ste 130
City
Marietta
State
Georgia
Zip
30060
Phone Number
770-426-1629
Fax Number
770-427-8001
person
Provider Business Mailing Address Details
Address
805 Sandy Plains Road
City
Marietta
State
Georgia
Zip
30066-6340
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
2086S0127X
License No.
()
Definition
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 in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2014-01249 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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