Tom M Fazlollah in Roswell - Nurse Anesthetist, Certified Registered

Tom M Fazlollah - NPI 1942296660

Tom M Fazlollah is a Nurse Anesthetist, Certified Registered in Roswell, Georgia. Tom M Fazlollah practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Tom M Fazlollah is 1942296660. The last update date is 2007-07-08.

Tom M Fazlollah's current location address is 200 Mansell Ct E, Roswell, Georgia. You can contact this provider via phone number 7706459181 and fax number 7706458455. The mailing address for Tom M Fazlollah is 200 Mansell Ct E, Roswell, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tom M Fazlollah
Address 200 Mansell Ct E, Roswell, Georgia
Phone Number 7706459181
Fax Number 7706458455
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1942296660
Provider Enumeration Date 2005-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 Mansell Ct E
City Roswell
State Georgia (GA)
Post Code 300764856
Phone Number 7706459181
Fax Number 7706458455

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No RN047276
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

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FAQs about Tom M Fazlollah

What is the unique 10-digit identification code issued to Tom M Fazlollah by the Centers for Medicare & Medicaid Services?

The Tom M Fazlollah has been assigned the NPI (National Provider Identifier) 1942296660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Tom M Fazlollah's facilities are geographically located?

The facilities of Tom M Fazlollah are physically situated at the following location: 200 Mansell Ct E, Roswell, GA, 300764856.

What is Tom M Fazlollah's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tom M Fazlollah's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942296660 to Tom M Fazlollah?

The Centers for Medicare & Medicaid Services assigned the 1942296660 to Tom M Fazlollah on 2005-09-27.

When was the information pertaining to Tom M Fazlollah most recently updated or revised?

The details related to Tom M Fazlollah, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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