Dr. Mohsen Khoshneviszadeh, DPM
Podiatrist in Jonesboro, GA. Individual provider (NPI-1).
NPI number1376564971
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1376564971
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohsen Khoshneviszadeh
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Jan 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | POD001005 | GA | Yes |
Practice location
2400 Mount Zion PkwySouthwood Medical Center - Dept Of Podiatry
Jonesboro, GA 30236-2500
Phone 770-603-3547
Mailing address
2710 Margaret Mitchell Dr NwAtlanta, GA 30327-1841
Phone 404-549-9345
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