Reza H Mohammad in Austell - Anesthesiologist Assistant
Reza H Mohammad - NPI 1013970607
Reza H Mohammad is a Anesthesiologist Assistant in Austell, Georgia. Reza H Mohammad practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Reza H Mohammad is 1013970607. The last update date is 2007-07-08.
Reza H Mohammad's current location address is Po Box 155, Austell, Georgia. You can contact this provider via phone number 7707323649 and fax number 7707323648. The mailing address for Reza H Mohammad is Po Box 155, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reza H Mohammad |
|---|---|
| Address | Po Box 155, Austell, Georgia |
| Phone Number | 7707323649 |
| Fax Number | 7707323648 |
| Sole Proprietor | X |
| Credentials | PAAA |
NPI Number Detail
| NPI Number | 1013970607 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 155 |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301681002 |
| Phone Number | 7707323649 |
| Fax Number | 7707323648 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 3911 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 567958436A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Reza H Mohammad by the Centers for Medicare & Medicaid Services (CMS)?
The Reza H Mohammad has been assigned the NPI (National Provider Identifier) 1013970607. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Reza H Mohammad?
The Reza H Mohammad is situated at Po Box 155, in the city of Austell, state of GA, with the zip code 301681002.
What is Reza H Mohammad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Reza H Mohammad's area of specialization is Anesthesiologist Assistant, and the corresponding taxonomy code that categorizes this field of practice is 367H00000X.
On what date did the Reza H Mohammad receive its 1013970607 assignment from the Centers for Medicare & Medicaid Services?
The Reza H Mohammad was assigned its 1013970607 by the Centers for Medicare & Medicaid Services on 2006-04-06.
When was the information pertaining to Reza H Mohammad most recently updated or revised?
The details related to Reza H Mohammad, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.