Individual provider · NPI-1
Shayan Ahmadi, PAAA
Anesthesiologist Assistant · Atlanta, GA
NPI number1902181738
StatusActive
Last updated in NPPESDec 15, 2025
Details
- NPI
- 1902181738
- Entity type
- Individual (NPI-1)
- Name
- Shayan Ahmadi
- Credential
- PAAA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2011
- Certification date
- Dec 15, 2025
- Last updated
- Dec 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 006229 | GA | Yes |
| 367H00000X | Anesthesiologist Assistant | ANT.0000317 | CO |
Practice location
1000 Johnson Ferry Rd NeAtlanta, GA 30342-1606
Phone 770-645-9181
Mailing address
3155 N Point Pkwy Ste F100Alpharetta, GA 30005-5495
Phone 770-645-9181
Other practice locations
1010 Three Springs Blvd
Durango, CO 81301-8296
Durango, CO 81301-8296
Phone 970-761-3200 · Fax 970-764-3209
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