Individual
DR. NADIA AZAM WASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096
(770) 931-6012
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1736
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
061017
GA
207R00000X
Internal Medicine Physician
MD.201068
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099023
—
LA
Enumeration date
10/18/2006
Last updated
02/11/2022
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