Individual
DR. NIKRAD SHAHNAVAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE STE 1200, ATLANTA, GA 30322-1013
(404) 778-3184
Mailing address
1181 BRIARVISTA WAY NE, ATLANTA, GA 30329-3629
(404) 279-0530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003104
GA
207RG0100X
Gastroenterology Physician
Primary
71413
GA
Other
Enumeration date
05/29/2008
Last updated
07/01/2014
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