Fairoz Matjan Radtke, PA-C is a medical physician assistant in Suwanee, GA with 23 years of experience. Fairoz Matjan Radtke, PA-C NPI is 1114207032. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5400 LAUREL SPRINGS PKWY
SUITE 1401
SUWANEE, GA
ZIP 30024-056
Phone: (678) 513-2228
Fax: (678) 513-1147
The NPI 1114207032 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/23/2011 and was last updated on 6/26/2018.