Kazemzadeh, Mehdi
Kazemzadeh, Mehdi is an individual health care provider with primary practice located at 575 Professional Dr Suite 100, Lawrenceville GA 30046-3333. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Kazemzadeh, Mehdi can be contacted via phone (678) 993-2020.Contact Information
Primary practice address
575 Professional Dr Suite 100
Lawrenceville GA 30046-3333
Phone: (678) 993-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT001423 | Georgia |
Profile Details
| NPI number | 1306921101 |
|---|---|
| LBN Legal business name | Kazemzadeh, Mehdi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Sep 25th, 2019 - about 5 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 | 1306921101 | NPPES |
| Georgia | MEDICAID | 000824865B |
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