DR. MAZIAR REZVANI (NPI# 1790824928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790824928 |
| Entity Type | Individual |
| Full Name | DR. MAZIAR REZVANI |
| Credential | M.D. |
| Practice Address |
5445 Meridian Marks Rd Ne Suite #390 Atlanta GA 30342-4763 |
| Mailing Address |
5512 Glenridge Dr Ne A Atlanta GA 30342-7213 |
| Practice Telephone | 4049832034 |
| Practice Fax Number | 4042573338 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 053937 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5445 MERIDIAN MARKS RD NE SUITE #390 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053816 | Kathryn Horton Jackson | Pharmacist | 5445 Meridian Marks Rd Ne, Suite 190, Atlanta, GA 30342-4763 | 2005-09-13 |
| 1265772776 | Keri Liles | Physician Assistant | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2013-02-20 |
| 1225375652 | Brain Stimullation Clinic, LLC | Health Maintenance Organization | 5445 Meridian Marks Rd Ne, Suite 370, Atlanta, GA 30342-4763 | 2013-01-04 |
| 1487926440 | Kirsten Halle Warnock | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2012-02-06 |
| 1073881777 | Veronica Hill | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2011-12-08 |
| 1851607220 | Ashley S Reid | Registered Nurse | 5445 Meridian Marks Rd Ne, Suite 350, Atlanta, GA 30342-4763 | 2010-08-24 |
| 1659682789 | Melanie L. Turco | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Ste 430, Atlanta, GA 30342-4763 | 2010-06-23 |
| 1689818312 | Piedmont Ear Nose & Throat Associates | Otolaryngology | 5445 Meridian Marks Rd Ne, Suite 125, Atlanta, GA 30342-4763 | 2009-04-24 |
| 1437319134 | Pediatric Eye Consultants of Atlanta, LLC | Ophthalmology | 5445 Meridian Marks Rd Ne, Suite 220, Atlanta, GA 30342-4763 | 2008-06-16 |
| 1689840852 | Childrens Care Pediatrics, PC | Pediatrics | 5445 Meridian Marks Rd Ne, Suite380, Atlanta, GA 30342-4763 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164863999 | Chih-yin Yeh | Allergy & Immunology | 5673 Peachtree Dunwoody Rd # 445, Atlanta, GA 30342-1731 | 2013-07-09 |
| 1023352069 | Advanced Allergy Inc | Allergy & Immunology | 5512 Glenridge Dr Ne, Unit A, Atlanta, GA 30342-7213 | 2012-11-15 |
| 1306135421 | United Spine and Ortho, LLC | Allergy & Immunology | 552 Ponce Deleon Avenue, Atlanta, GA 30308 | 2011-03-29 |
| 1558559906 | Brian P. Vickery | Allergy & Immunology | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2007-10-11 |
| 1891891982 | Lawrence Patrick Mckean | Allergy & Immunology | 17 Executive Prk Drive Ne, Suite 250, Atlanta, GA 30329-2220 | 2006-09-15 |
| 1831129261 | Luqman Seidu | Allergy & Immunology | 5671 Peachtree Dunwoody, Suite 550, Atlanta, GA 30342-5000 | 2006-07-03 |
| 1508893280 | Gary Z Lotner | Allergy & Immunology | 2296 Henderson Mill Rd, Suite 300, Atlanta, GA 30345 | 2006-06-27 |
| 1669421491 | Keith Ian Lenchner | Allergy & Immunology | 2045 Peachtree Rd Ne Ste 800, Atlanta, GA 30309-1412 | 2006-05-09 |
| 1720088602 | Kelvin J Holloway | Allergy & Immunology | 35 Jesse Hill Jr. Dr. Se, Atlanta, GA 30303-3032 | 2005-07-21 |
| 1831536879 | Omni Allergy Immunology and Asthma | Allergy & Immunology | 5671 Peachtree Dunwoody Rd, Suite 550, Atlanta, GA 30342-5000 | 2013-05-31 |
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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.