Provider Demographics
NPI:1609282490
Name:DARMOCH, FAHED
Entity Type:Individual
Prefix:
First Name:FAHED
Middle Name:
Last Name:DARMOCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FEHID
Other - Middle Name:
Other - Last Name:DURMUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2000 HOWARD FARM DR STE 480
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6075
Mailing Address - Country:US
Mailing Address - Phone:044-962-6000
Mailing Address - Fax:
Practice Address - Street 1:2000 HOWARD FARM DR STE 480
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6075
Practice Address - Country:US
Practice Address - Phone:404-962-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96007207RC0000X
OH35.129868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease