DR. SALMAN SHIRAZHUSSEIN FIDAHUSSEIN (NPI# 1225298029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225298029 |
| Entity Type | Individual |
| Full Name | DR. SALMAN SHIRAZHUSSEIN FIDAHUSSEIN |
| Credential | M.D. |
| Practice Address |
1551 Doctors Dr Lagrange GA 30240-4139 |
| Practice Telephone | 7068807222 |
| Practice Fax Number | 7068807223 |
| Mailing Telephone | 7068807222 |
| Mailing Fax Number | 7068807223 |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 051439 | CT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 54415 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 105563 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
73741 | GA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
73471 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ENROLLED | 05 | |
| MN | RAIL ROAD - MEDICARE | P01021732 | 01 |
| MN | ENROLLED | 05 | |
| WI | ENROLLED | 05 |
| Street Address |
1551 DOCTORS DR |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548626 | Vivian M Hutton | Physician Assistant | 1551 Doctors Dr, Building 200, Lagrange, GA 30240-4139 | 2005-09-14 |
| 1225408297 | Erin Thompson Spinks | Nurse Practitioner | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2015-10-02 |
| 1609286608 | Cameron Bilbro Body | Internal Medicine | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2014-04-30 |
| 1275766545 | Brandy Leigh Yarbrough | Nurse Practitioner | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2009-09-02 |
| 1558592089 | West Georgia Medical Center Inc | Internal Medicine | 1551 Doctors Dr, Bldg 200, Lagrange, GA 30240-4139 | 2009-07-31 |
| 1184890584 | Ariyo Oluwole Olobatoke | Internal Medicine | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2008-05-06 |
| 1023296811 | Alex K Harris | Physician Assistant | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2008-02-05 |
| 1922197045 | Chad M Sisk | Internal Medicine | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2006-10-12 |
| 1063407831 | John Robert Coggins Jr. | Specialist | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2005-09-16 |
| 1639164411 | Jill Craig Guy | Nurse Practitioner | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812731 | Pierre David Villain | Internal Medicine | 9192 Dover St, Lithia Springs, GA 30122-3813 | 2018-08-23 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1093060303 | Jrmdinc | Internal Medicine | 4300 Southern Pines Dr, Evans, GA 30809-4287 | 2012-07-23 |
| 1275896896 | Nicholas M. Maurice | Internal Medicine | 1670 Clairmont Rd # 12c-189, Decatur, GA 30033-4004 | 2012-06-19 |
| 1457626913 | Seema S Tekwani | Internal Medicine | 49 Jesse Hill Jr Dr Se # 2c001, Division of Pulmonary and Critical Care Medicine, Atlanta, GA 30303-3049 | 2012-03-16 |
| 1033381900 | Andre Lavar Holder | Internal Medicine | 80 Jesse Hill Jr Dr Se Rm 2d012, Atlanta, GA 30303-3031 | 2008-03-31 |
| 1164607974 | David Emerson Green | Internal Medicine | 1670 Clairmont Rd, (rm 12c 193-mail Stop 151p), Atlanta Va Medical Center / Emory University, Decatur, GA 30033 | 2007-12-31 |
| 1538380464 | Ram Mohan Subramanian | Internal Medicine | 1365 Clifton Rd Ne Bldg B-1, Atlanta, GA 30322-1059 | 2007-05-01 |
| 1639259666 | Juan Carlos Armstrong | Internal Medicine | 4550 Cobb Parkway North Nw Ste 210, Acworth, GA 30101-4182 | 2006-10-16 |
| 1558374041 | John Wesley King, Jr. | Internal Medicine | 641 W Thomas St, Milledgeville, GA 31061-2337 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.