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NPI Code Detail

MEDICARE: HOSNA GHADERI

MEDICARE:   HOSNA  GHADERI
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
1133V00000XRegistered DietitianLD007755GA

General Provider Information

NPI Number : 1558239210
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOSNA GHADERI
Provider Business Mailing Address
First Line : 1200 NORTHSIDE FORSYTH DR
Second Line :
City : CUMMING
State : GA
Zip : 30041-7659
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 NORTHSIDE FORSYTH DR
Second Line :
City : CUMMING
State : GA
Zip : 30041-7659
Country : US
Telephone Number : 770-844-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2025
Last Update Date : 12/17/2025

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Directions to “ HOSNA GHADERI ” Practice Location

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