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Shahzad Ghori

Podiatrist

Podiatric Medicine & Surgery Service Providers

1670 Clairmont Rd, Decatur, GA 30033-4004

PECOS Enrollment

Based on the most recent information from CMS, provider Shahzad Ghori is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1316490808
Provider Type
Individual
Full Name
Ghori, Shahzad
Title
Dr.
Credential
D.P.M.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/1/2016
Last Updated
5/20/2022

Contact Information

Practice Location

1670 Clairmont Rd, Decatur, GA 30033-4004

(404) 321-6111

Unlisted Fax

Mailing Location

1670 Clairmont Rd, Decatur, GA 30033-4004

(404) 321-6111

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 213ES0103X Primary	Description Podiatrist Podiatric Medicine & Surgery Service Providers	License POD001360 Georgia

Shahzad Ghori

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Baxter, Nicole Rachel

Murad, Sherrill A

Willis, Ashley

Conway, Cayla

Hermes, Emily Ann

Mann, Joshua Joseph

Bradley, Aaron

Becker, Holly K

Allied Ankle & Footcare Centers Pc