Provider Demographics
NPI:1073739579
Name:ASKARI, NEVORN (MD)
Entity Type:Individual
Prefix:
First Name:NEVORN
Middle Name:
Last Name:ASKARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 SECOND AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-3970
Mailing Address - Country:US
Mailing Address - Phone:404-687-3351
Mailing Address - Fax:404-687-3357
Practice Address - Street 1:1836 SECOND AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-3970
Practice Address - Country:US
Practice Address - Phone:404-687-3351
Practice Address - Fax:404-687-3357
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA028712208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice