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IMAN FERDJALLAH MD
NPI 1730717851
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since April 01, 2020
1475 LANEY WALKER BLVD, AUGUSTA, GA 30912(706) 721-7005 Get Directions Write a Review

NPPES record last updated: July 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2024, Oct 6, 2023, Jul 13, 2023 and 2 more (5 updates tracked since 2020).

About Iman Ferdjallah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAN FERDJALLAH MD (NPI 1730717851) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1730717851
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIMAN FERDJALLAHCredential: MD
Location Address1475 LANEY WALKER BLVDAugusta, GA 30912-7310
Mailing Address1475 Laney Walker BlvdAugusta, GA 30912-7310 · (706) 721-7005
Phone(706) 721-7005
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateJuly 7, 20245 updates tracked since enumeration
NPPES CertifiedJuly 7, 2024
✔ NPI 1730717851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1475 LANEY WALKER BLVD, Augusta, GA 30912
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAHNAVI KANDEPU
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
JELANI DIA BENDER MD
Emergency Medicine
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
MICHAEL PHILIP CONSTANS DO
Student in an Organized Health Care Education/Training Program
1475 LANEY WALKER BLVD, AE-3046
AUGUSTA, GA 30912
Richmond County (706) 721-7005
RAWAN KORMAN MD
Pediatrics
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-5036
GABRIELLE MARA MOORE MD
Surgery
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
ANKIT DHIMAN
Surgery
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
DR. ANTHONY GEORGE CAMPBELL MD
Surgery
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-2503
ELIZABETH SHAKE
Student in an Organized Health Care Education/Training Program
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iman Ferdjallah's NPI number?

The NPI number for Iman Ferdjallah is 1730717851. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Iman Ferdjallah located?

Iman Ferdjallah practices at 1475 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-7005.

What is Iman Ferdjallah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Iman Ferdjallah was last updated on July 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.