Provider Demographics
NPI:1093510836
Name:NOORANI, NAGHMEH
Entity type:Individual
Prefix:
First Name:NAGHMEH
Middle Name:
Last Name:NOORANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3087 CAMDEN WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4404
Mailing Address - Country:US
Mailing Address - Phone:770-903-5003
Mailing Address - Fax:
Practice Address - Street 1:5755 N POINT PKWY STE 34
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1144
Practice Address - Country:US
Practice Address - Phone:678-240-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN324005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily