Individual
DR. SHAPOUR MOBASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11975 MORRIS RD, SUITE 300, ALPHARETTA, GA 30005-4419
(770) 521-2295
(770) 255-0333
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016743
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000117719D
—
GA
05
—
000117719E
—
GA
05
—
000117719G
—
GA
Enumeration date
12/30/2005
Last updated
08/09/2013
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