Healthcare Provider Details

I. General information

NPI: 1205491065
Provider Name (Legal Business Name): ZAHEER AHAMMAD DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MEDICAL CENTER BLVD. STE 100
LAWRENCEVILLE GA
30046
US

IV. Provider business mailing address

4101 CHARLOTTE AVE STE F185
NASHVILLE TN
37209-4066
US

V. Phone/Fax

Practice location:
  • Phone: 770-822-2166
  • Fax: 770-237-2934
Mailing address:
  • Phone: 678-426-2171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD001548
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: