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NPI Code Detail

MEDICARE: DR. ZOHAIR AHMED D.O

MEDICARE: DR. ZOHAIR AHMED D.O
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
1207R00000XInternal Medicine Physician5101022772MI
2390200000XStudent in an Organized Health Care Education/Training Program
3207RR0500XRheumatology Physician24GA

General Provider Information

NPI Number : 1255780995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZOHAIR AHMED D.O
Provider Business Mailing Address
First Line : 4850 SUGARLOAF PKWY STE 501
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-2864
Country : US
Telephone Number : 770-962-1616
Fax Number :
Provider Business Practice Location Address
First Line : 4850 SUGARLOAF PKWY STE 501
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-2864
Country : US
Telephone Number : 770-962-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2016
Last Update Date : 02/08/2023

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