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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. REZA JOHN HATEFI, PAC

Active

MR. REZA JOHN HATEFI, PAC is a Physician Assistant healthcare provider located in WAKE FOREST, North Carolina. NPI 1114960036 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WAKE FOREST, NC

Registration Details

NPI Number
1114960036
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2006 (20.152848364267 yrs)
Last Updated
Feb 25, 2021
License
NC 103020 (NC)

Practice Information

Address
2001 S MAIN ST
WAKE FOREST, NC, 275871649
Browse NC providers · Browse ZIP 27587
Phone
9193500365
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WAKE FOREST, NC

Name Credential NPI
MR. CLYDE RICHARD EDWARDS PA-C 1194716241
STUART RUTLEDGE GERMAN P.A. 1821061359
MRS. JENA ENGEL HOH PAC 1598738866
MRS. CAROLYN KAY SOLAK PA-C 1578509881
RAVI K. SINGH PA-C 1083620009
AMI CRABTREE P.A. 1093864001
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.