Individual
DR. PARHAM ESHTEHARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5100
(404) 851-6325
Mailing address
NORTHSIDE HOSPITAL - MANAGED CARE DEPT, 1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 300-2476
(404) 250-8010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
74220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003170184A
—
GA
Enumeration date
06/04/2012
Last updated
03/14/2022
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