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Bobak Moazzami, MD
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1942069125

Bobak Moazzami is a Student in an Organized Health Care Education/Training Program based in Lawrenceville, GA. Bobak Moazzami practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Bobak Moazzami is 1942069125 and holds a License No. (Georgia).

The current practice location address for Bobak Moazzami is 665 Duluth Hwy Ste 401, Lawrenceville, GA and can be reached out via phone at 678-333-4266. You can also correspond with Bobak Moazzami through the mailing address at PO BOX 1190, LAWRENCEVILLE, GA - 30046-1190 (mailing address contact number: ).

Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942069125
Provider Name
Bobak Moazzami
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Phone Number
678-333-4266
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
678-333-4266
Fax Number
person
Provider Business Mailing Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
678-333-4266
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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