Active NPI
Fauzia K. Durrani M.D., PC
- Specialist
- Valdosta, GA
National Provider Identifier
1659587301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 018800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000146143A | Medicaid | GA |
Other names 1
- FAUZIA K. DURRANI M.D. ,PC
National Provider Directory
National Provider DirectoryLocations
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.