Provider Demographics
NPI:1679510705
Name:EMADIAN, SEYED M (MD PH D)
Entity Type:Individual
Prefix:DR
First Name:SEYED
Middle Name:M
Last Name:EMADIAN
Suffix:
Gender:M
Credentials:MD PH D
Other - Prefix:
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Mailing Address - Street 1:1525 CHATTANOOGA RD
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8379
Mailing Address - Country:US
Mailing Address - Phone:706-529-7124
Mailing Address - Fax:706-529-7126
Practice Address - Street 1:1525 CHATTANOOGA RD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8379
Practice Address - Country:US
Practice Address - Phone:706-529-7124
Practice Address - Fax:706-529-7126
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN36263207T00000X
GA90688207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1668295OtherCIGNA TN
140007979OtherRR MEDICARE
GA003259702Medicaid
1187701OtherFIRST HEALTH
TN3874687Medicaid
TN4038597OtherBLUE CROSS TN