Healthcare Provider Details

I. General information

NPI: 1720742687
Provider Name (Legal Business Name): ZSF MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PEACHFORD RD STE T
ATLANTA GA
30338-6539
US

IV. Provider business mailing address

PO BOX 26040
MACON GA
31221-6040
US

V. Phone/Fax

Practice location:
  • Phone: 478-475-1299
  • Fax:
Mailing address:
  • Phone: 478-475-1299
  • Fax: 866-561-8562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MOONA KHAN
Title or Position: OWNER
Credential: MD
Phone: 404-374-9267