Reza John Hatefi in Wake Forest - Physician Assistant
Reza John Hatefi - NPI 1114960036
Reza John Hatefi is a Physician Assistant in Wake Forest, North Carolina. Reza John Hatefi practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Reza John Hatefi is 1114960036. The last update date is 2021-02-25.
Reza John Hatefi's current location address is 2001 S Main St, Wake Forest, North Carolina. You can contact this provider via phone number 9193500365. The mailing address for Reza John Hatefi is 2001 S Main St, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reza John Hatefi |
|---|---|
| Address | 2001 S Main St, Wake Forest, North Carolina |
| Phone Number | 9193500365 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1114960036 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2021-02-25 |
Provider Mailing Address Detail
| Address | 2001 S Main St |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 275871649 |
| Phone Number | 9193500365 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | NC 103020 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the Reza John Hatefi's unique identification number?
The Reza John Hatefi has been assigned the NPI (National Provider Identifier) Number 1114960036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Reza John Hatefi?
The Reza John Hatefi is physically situated at 2001 S Main St, in the city of Wake Forest, state of NC, with the postal code 275871649.
What is Reza John Hatefi's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Reza John Hatefi is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did the Reza John Hatefi receive its 1114960036?
The Reza John Hatefi was issued its 1114960036 on 2006-06-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Reza John Hatefi's details last updated?
The information pertaining to the Reza John Hatefi, including its address, specialty, and other details, was most recently updated on 2021-02-25.