MR. Shayan Bagheri, PA-C

NPI #1205678554 in Cumming, Georgia

Provider Information

NPI Number: 1205678554
Entity Type: Individual
Name: MR. Shayan Bagheri, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 8, 2024
Last Updated: Jun 18, 2024

Practice Location

Address: 204 CANTON RD
City: Cumming
State: Georgia
ZIP Code: 30040-2304
Phone: (770) 886-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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