Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keren Aviva Bashan-Gilzenrat, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700047784

Dr. Keren Aviva Bashan-Gilzenrat, MD is a General Surgery in Marietta, Georgia. Graduated from University of Connecticut School of Medicine in 2008, 18 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
18
Trained at
University of Connecticut School of Medicine
Licensed in
GA, NC
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Whitcher St NE Ste 130
Marietta, GA 30060
Phone: (770) 426-1629
Fax: (770) 427-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 — (404) 616-1415
  • 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 — (404) 616-1415

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 070045 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2014-01249 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700047784
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2008
Last updated in NPPESOctober 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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