Individual
RAD ZAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA/AA
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
6360 RIVER CHASE CIR NW, ATLANTA, GA 30328-3549
(678) 523-4544
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004905
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329014970B
—
GA
01
—
394640
WELLCARE
GA
01
—
P00413154
RAILROAD MEDICARE
GA
Enumeration date
11/01/2006
Last updated
10/30/2021
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