Davoodi, Puya
Davoodi, Puya is an individual health care provider with primary practice located at 1296 Sims St Ste B , Gainesville GA 30501-3835. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Davoodi, Puya can be contacted via phone (770) 534-1856.Contact Information
Primary practice address
1296 Sims St Ste B
Gainesville GA 30501-3835
Phone: (770) 534-1856
Fax: (770) 531-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | LL25628 | South Carolina |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | TRN13669 | Florida |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME111956 | Florida |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 062833 | Georgia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 062833 | Georgia |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 062833 | Georgia |
Profile Details
| NPI number | 1457432601 |
|---|---|
| LBN Legal business name | Davoodi, Puya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Oct 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457432601 | NPPES |
| Florida | MEDICAID | 006099600 |
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