Individual
DR. FARAMARZ EDALAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322
(404) 712-2000
Mailing address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
82148
GA
2085R0204X
Vascular & Interventional Radiology Physician
082148
GA
2085R0204X
Vascular & Interventional Radiology Physician
67777
WI
Other
Enumeration date
06/13/2009
Last updated
03/23/2026
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