Individual
DR. FAIZ EHSAN NIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 RIVER PARK NORTH DR, WOODSTOCK, GA 30188-7835
(770) 345-0070
(770) 345-0077
Mailing address
331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25IA12904000
NJ
2084N0400X
Neurology Physician
31032
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731622
—
TN
01
—
500625107A
MEDICAID
GA
05
—
500625107B
—
GA
Enumeration date
05/11/2006
Last updated
12/04/2025
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