Individual
DR. NASON DANIEL ROUHIZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
677 CHURCH ST NE # 111, MARIETTA, GA 30060-1101
(770) 793-7750
Mailing address
7208 PRIMROSE LN, TAMARAC, FL 33321-5340
(954) 263-9081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS14393
FL
207R00000X
Internal Medicine Physician
080393
GA
208M00000X
Hospitalist Physician
Primary
080393
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
09/26/2019
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