Mortazavi, Ali
Mortazavi, Ali is an individual health care provider with primary practice located at 2041 Mesa Valley Way Suite 100, Austell GA 30106-8157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mortazavi, Ali can be contacted via phone (770) 944-1100.Contact Information
Primary practice address
2041 Mesa Valley Way Suite 100
Austell GA 30106-8157
Phone: (770) 944-1100
Fax: (770) 944-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 054865 | Georgia |
Profile Details
| NPI number | 1609863802 |
|---|---|
| LBN Legal business name | Mortazavi, Ali |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Oct 24th, 2016 - about 8 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 | 1609863802 | NPPES |
| Georgia | MEDICAID | 234083867B | |
| Georgia | MEDICAID | 234083867E | |
| Georgia | MEDICAID | 234083867C | |
| Georgia | MEDICAID | 234083867A |
Popular Providers
-
Urrutia, Rafael V.
2041 Mesa Valley Way Suite 100, Austell GA 30106-8157 -
Sacks, Todd A.
2041 Mesa Valley Way Suite 100, Austell GA 30106-8157 -
Duffield, Mark S.
3672 Marathon Cir Suite 200, Austell GA 30106-6821 -
Belagaje, Sudhir Rama
3672 Marathon Cir Suite 200, Austell GA 30106-6821 -
Bhole, Raj
2041 Mesa Valley Way Suite 100, Austell GA 30106-8157 -
Simon, Gary S.
2041 Mesa Valley Way Suite 100, Austell GA 30106-8157 -
Olmedo, Eduardo J.
2041 Mesa Valley Way Suite 100, Austell GA 30106-8157 -
Levere, Scott M.
2041 Mesa Valley Way Suite 100, Austell GA 30106-8157