Organization Active NPI

Fauzia K. Durrani M.D., PC

  • Specialist
  • Valdosta, GA
National Provider Identifier
1659587301
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
018800 Issued in GA
Legal business name
FAUZIA K. DURRANI M.D., PC
Practice address
107 Woodrow Wilson Dr
Valdosta, GA 31602-2539
Phone
(229) 247-7753
Fax
(229) 247-7849
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Ms. Fauzia K Durrani, M.D.
Title
Owner
Phone
(229) 247-7753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 018800 GA Primary

Addresses

Primary practice location

107 Woodrow Wilson Dr
Valdosta, GA 31602-2539

Mailing address

107 Woodrow Wilson Dr
Valdosta, GA 31602-2539
Phone (229) 247-7753

Other identifiers 1

IdentifierTypeStateIssuer
000146143AMedicaidGA

Other names 1

  • FAUZIA K. DURRANI M.D. ,PC Other name

National Provider Directory

National Provider Directory

Locations

107 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 247-7753

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1659587301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022539",
            "telephone_number": "229-247-7753",
            "fax_number": "229-247-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022539",
            "telephone_number": "229-247-7753",
            "fax_number": "229-247-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUZIA K. DURRANI M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "DURRANI",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-247-7753",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "018800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000146143A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAUZIA K. DURRANI M.D. ,PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.