Healthcare Provider Details

I. General information

NPI: 1730990847
Provider Name (Legal Business Name): NAHIDEH S PAZHOUHESH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 PEACHTREE DUNWOODY RD
SANDY SPRINGS GA
30342-1701
US

IV. Provider business mailing address

976 MANSELL RD
ROSWELL GA
30076-1533
US

V. Phone/Fax

Practice location:
  • Phone: 678-377-5240
  • Fax:
Mailing address:
  • Phone: 770-800-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN231409
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: