Farida Kwaji, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

73959 Issued in GA

Practice address

2660 Satellite Blvd
Duluth, GA 30096-5803

Phone

(404) 785-8330

NPI assigned

Apr 13, 2012

Last updated

Jul 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1164789202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 TULLIE CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292311",
            "telephone_number": "404-785-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SATELLITE BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965803",
            "telephone_number": "404-785-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAJI",
        "first_name": "FARIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "73959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton James Kull, LCSW
• Ramesh Kumar, MD
• Kiran Kuraishy, FNP-C
• Emily Miyuki Kurokawa, M.D.
• Claudia Rodica Kusovschi, RN, BSN
• Sang Chol Kwak, D.D.S.
• Garrick Kaluen Kwok, M.D.
• Kwon Physical Therapy LLC (Fit In Motion Physical Therapy)
• Cho Ryon Kwon
• Kiseok Kwon, DPT

• Pediatrics Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.