Provider Demographics
NPI:1861011207
Name:FERDOS HEALTH, PC
Entity Type:Organization
Organization Name:FERDOS HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:V
Authorized Official - Last Name:TEHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-904-0925
Mailing Address - Street 1:5955 JIMMY CARTER BLVD STE 40
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-4608
Mailing Address - Country:US
Mailing Address - Phone:404-410-1001
Mailing Address - Fax:
Practice Address - Street 1:5955 JIMMY CARTER BLVD STE 40
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-4608
Practice Address - Country:US
Practice Address - Phone:404-410-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty