DR. MITRA MOFID (NPI# 1669462610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669462610 |
| Entity Type | Individual |
| Full Name | DR. MITRA MOFID |
| Credential | M.D. |
| Practice Address |
2550 Windy Hill Road Se Suite 103 Marietta GA 30067-8607 |
| Mailing Address |
3843 Chattahoochee Summit Dr Se Atlanta GA 30339-3253 |
| Practice Telephone | 7709520050 |
| Practice Fax Number | 7703816451 |
| Mailing Telephone | 7143280331 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | 38362 | KY | Allopathic & Osteopathic Physicians |
| X | 207N00000X | Dermatology | A62702 | CA | Allopathic & Osteopathic Physicians |
| X | 207N00000X | Dermatology | 051166 | GA | Allopathic & Osteopathic Physicians |
| X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
38362 | KY | Allopathic & Osteopathic Physicians |
| X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A62702 | CA | Allopathic & Osteopathic Physicians |
| X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
051166 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2550 WINDY HILL ROAD SE SUITE 103 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686058 | Worldwide Medical Healthcare Inc | Dermatology | 790 Church St Ne Ste 300, Marietta, GA 30060-8902 | 2020-10-09 |
| 1346700127 | Gerald Chotiner | Dermatology | 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 | 2019-03-20 |
| 1790791465 | Debra J Atkins | Dermatology | 1232 Johnson Ferry Rd, Marietta, GA 30068-2776 | 2006-08-01 |
| 1164442562 | Jim D Adkins | Dermatology | 111 Marble Mill Road, Marietta, GA 30060-1047 | 2006-07-20 |
| 1114985108 | Jennifer L Jones | Dermatology | 835 Cogburn Avenue, Suite 100, Marietta, GA 30060-1008 | 2006-05-02 |
| 1790756138 | Mark Alan Chastain | Dermatology | 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 | 2006-02-01 |
| 1366428146 | Candance Kimbrough-green | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2005-12-22 |
| 1447851357 | Dermatology and Surgery Specialists of North Atlanta PC | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2020-11-06 |
| 1356861975 | Anissa Mansoori | Dermatology | 141 Lacy St Nw Ste 200, Marietta, GA 30060-1118 | 2017-06-24 |
| 1306232608 | Hailey F Rouhana | Dermatology | 835 Cogburn Avenue, Suite 100, Marietta, GA 30060-1008 | 2015-04-13 |
| Find all providers in MARIETTA | ||||
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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.