MEDICARE: PARISA IGHANI RN

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
1	163W00000X	Registered Nurse	RN237289	GA
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1760265623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARISA IGHANI RN

Provider Business Mailing Address
First Line	:	200 MARKET PL STE 230
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30075-3944
Country	:	US
Telephone Number	:	404-996-7825
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MARKET PL STE 230
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30075-3944
Country	:	US
Telephone Number	:	404-996-7825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	08/15/2023

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Directions to “ PARISA IGHANI RN” Practice Location

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