Individual
SAM BAZRAFSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4308 BRAINERD RD, CHATTANOOGA, TN 37411
(423) 698-1966
(423) 697-7207
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 900, ATLANTA, GA 30339-3035
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
790
TN
213E00000X
Podiatrist
POD001307
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
PR349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023367
—
TN
Enumeration date
01/21/2016
Last updated
05/17/2018
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