| NPI | 1376564971 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-21 |
| Last Updated | 2022-01-13 |
| Mailing Address | 2710 Margaret Mitchell Dr Nw Atlanta, GA 30327-1841 United States Phone: (404) 549-9345 📍 View Map |
| Primary Practice Address | 2400 Mount Zion Pkwy, Southwood Medical Center - Dept Of Podiatry Jonesboro, GA 30236-2500 United States Phone: (770) 603-3547 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 213E00000X – Podiatrist | GA | POD001005 |
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About NPI 1376564971
Mohsen Khoshneviszadeh DPM is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1376564971. The primary specialty listed is Podiatrist. The provider is located in Jonesboro, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1376564971?
NPI 1376564971 belongs to Mohsen Khoshneviszadeh DPM, a Podiatrist in Jonesboro, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1376564971 active?
The current status of NPI 1376564971 in the NPPES registry is Active. The record was last updated on 2022-01-13.
What specialty is NPI 1376564971?
NPI 1376564971 is classified under the taxonomy Podiatrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1376564971?
You can verify NPI 1376564971 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1376564971?
The primary practice address on file for NPI 1376564971 is 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1376564971 issued?
NPI 1376564971 was first issued (enumerated) on 2006-07-21. The NPPES record was last updated on 2022-01-13.
Practice Location Map
Mohsen Khoshneviszadeh is located at 2400 Mount Zion Pkwy, Jonesboro, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mohsen Khoshneviszadeh. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1376564971. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Podiatrist | POD001005 | GA |