MEDICARE: SHAMMAMAH NIAZI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	061989	GA

General Provider Information

NPI Number	:	1548262843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMMAMAH NIAZI MD

Provider Business Mailing Address
First Line	:	35 COLLIER RD NW
Second Line	:	SUITE 775
City	:	ATLANTA
State	:	GA
Zip	:	30309-1613
Country	:	US
Telephone Number	:	404-350-1122
Fax Number	:	404-609-7608

Provider Business Practice Location Address
First Line	:	35 COLLIER RD NW
Second Line	:	SUITE 775
City	:	ATLANTA
State	:	GA
Zip	:	30309-1613
Country	:	US
Telephone Number	:	404-350-1122
Fax Number	:	404-609-7608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/01/2016

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