Provider Demographics
NPI:1841597770
Name:UMMED, NAVEED SHAZ (MD)
Entity Type:Individual
Prefix:
First Name:NAVEED
Middle Name:SHAZ
Last Name:UMMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10475 MEDLOCK BRIDGE RD STE 420
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4439
Mailing Address - Country:US
Mailing Address - Phone:770-212-9520
Mailing Address - Fax:770-212-9502
Practice Address - Street 1:10475 MEDLOCK BRIDGE RD STE 420
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-4439
Practice Address - Country:US
Practice Address - Phone:770-212-7520
Practice Address - Fax:770-212-9502
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA668352084P0800X, 207R00000X, 2084P0800X
LA2009752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine