Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bobak Moazzami, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942069125

Bobak Moazzami, MD is a Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303
Phone: (678) 333-4266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1942069125
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing addressPo Box 1190, Lawrenceville, GA 30046-1190

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