Basic Information
Provider Information
NPI: 1427657972
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAYANI
FirstName: ZOHRA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1551 JANMAR RD
Address2:  
City: SNELLVILLE
State: GA
PostalCode: 300785606
CountryCode: US
TelephoneNumber: 6783448900
FaxNumber: 6786665201
Practice Location
Address1: 11660 ALPHARETTA HWY STE 700
Address2:  
City: ROSWELL
State: GA
PostalCode: 300764956
CountryCode: US
TelephoneNumber: 6783448900
FaxNumber: 6786665201
Other Information
ProviderEnumerationDate: 10/25/2020
LastUpdateDate: 10/25/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN246188GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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