Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 84345 | GA |
NPI | 1316351323 |
---|---|
Provider Name | Dr. Shahein Holmes Tajmir |
First Address | Atlanta, GA 30322-1059 |
Second Address | Atlanta, GA 30322-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 30/06/2021 |