Organization
NAVEED S UMMED., M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVEED SHAZ UMMED M.D. (PRESIDENT)
(602) 738-8903
Entity
Organization
Contact information
Practice address
5805 STATE BRIDGE RD, G150, JOHNS CREEK, GA 30097-8220
(602) 738-8903
Mailing address
5805 STATE BRIDGE RD, G150, DULUTH, GA 30097-8220
(602) 738-8903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841597770
NPI
—
01
—
222NSU11
WYOMING BOARD OF PHARMACY
WY
01
—
24080
MEDICARE - PTAN
—
01
—
66835
GEORGIA COMPOSITE BOARD OF MEDICINE
GA
01
—
8586A
WYOMING MEDICAL BOARD
WY
Enumeration date
09/20/2011
Last updated
09/20/2011
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