Provider Demographics
NPI:1285078543
Name:ZAMAN, SHIVA SHIRAZI (MD)
Entity type:Individual
Prefix:DR
First Name:SHIVA
Middle Name:SHIRAZI
Last Name:ZAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIVA
Other - Middle Name:TAASOOB
Other - Last Name:SHIRAZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3276 BUFORD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-5702
Mailing Address - Country:US
Mailing Address - Phone:404-251-2890
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-727-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA076702207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine