Zadeh, Maurice Ebrahim
Zadeh, Maurice Ebrahim is an sole proprietor health care provider with primary practice located at 910 Holcomb Bridge Rd Ste 100, Roswell GA 30076-1975. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zadeh, Maurice Ebrahim can be contacted via phone (770) 992-6789.Contact Information
Primary practice address
910 Holcomb Bridge Rd Ste 100
Roswell GA 30076-1975
Phone: (770) 992-6789
Fax: (770) 640-6789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | GA001234 | Georgia |
Profile Details
| NPI number | 1780677476 |
|---|---|
| LBN Legal business name | Zadeh, Maurice Ebrahim |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Nov 4th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780677476 | NPPES |
| Georgia | MEDICAID | 000641319A |
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