Mohammad, Reza H

Mohammad, Reza H is an individual health care provider with primary practice located at 3950 Austell Road , Austell GA 30106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Mohammad, Reza H can be contacted via phone (770) 732-3649.

Contact Information

Primary practice address
3950 Austell Road Austell GA 30106
Phone: (770) 732-3649
Fax: (770) 732-3648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003911 Georgia

Profile Details

NPI number 1013970607
LBN Legal business name Mohammad, Reza H
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013970607 NPPES
Georgia MEDICAID 567958436A

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