Individual
DR. FARZANA B MUMTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2404 MACY DR, ROSWELL, GA 30076-6343
(770) 640-8814
(770) 640-8815
Mailing address
2404 MACY DR, ROSWELL, GA 30076-6343
(770) 640-8814
(770) 640-8815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036419
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000557576B
AMERIGROUP HEALTH PLAN
GA
05
—
000557576B
—
GA
01
—
319176
WELLCARE HEALTH PLAN
GA
01
—
P00245232
RAIL ROAD MEDICARE
GA
Enumeration date
11/05/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us