Individual
DR. MAAZ AHMED GHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9729
(706) 721-7319
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
47710
TX
2085P0229X
Pediatric Radiology Physician
2023024861
MO
2085P0229X
Pediatric Radiology Physician
47710
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
102316
GA
2085R0204X
Vascular & Interventional Radiology Physician
2023024861
MO
2085R0204X
Vascular & Interventional Radiology Physician
47401
TX
Other
Enumeration date
05/04/2017
Last updated
04/23/2026
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