# LE REVE MEDICAL CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881165207
- **Authorized official:** DR. SHAHIN ZOHOORI MD (CEO/PRESIDENT)
- **Authorized official phone:** (770) 575-2420

## Contact information

- **Practice address:** 1827 POWERS FERRYY RD SE BLDG 7, SUITE 150, ATLANTA, GA 30339
- **Practice address phone:** (770) 575-2420
- **Practice address fax:** (770) 635-8432
- **Mailing address:** 1827 POWERS FERRYY RD SE BLDG 7, SUITE 150, ATLANTA, GA 30339
- **Mailing address phone:** (770) 575-2420
- **Mailing address fax:** (770) 635-8432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2018
- **Last updated:** 12/11/2018
